Download Care of patients

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Modul 1
Care of patients and its importance in healing process
Text test
An example of a block to creative thinking is
A. * fear of making a mistake
B. open mindedness
C. self-confidence
D. self-evaluation
E. No correct answer
An example of communication through the visual channel is
A. counting a patient's pulse
B. noting the patient's verbal response to a question
C. giving the patient a back massage
D. * observing that the patient looks away from the nurse when discussing a certain
subject
E. No correct answer
An example of communication through the visual channel is
A. counting a patient's pulse
B. noting the patient's verbal response to a question
C. noting the patient's verbal response to a question
D. * observing that the patient looks away from the nurse when discussing a certain
subject
E. No correct answer
As a source of in-hospital infection may be all presented except of:
A. * Disposable syringes and needles
B. Hands, skin coats and nasopharynx
C. Instruments, syringes, rubber equipment
D. Intestine, urinary system
E. Food products, water
At which temperature chloramine solution is the most active?
A. 4-6 0C
B. 8-10 0C
C. * 40-50 0C
D. 10-20 0C
E. 80-90 0C
Boiling in 2 % sodium hydrocarbonate solution within 15 min is used for disinfection of all
types of medical equipment except of:
A. * Plastic equipment
B. Glass equipment
C. Iron equipment
D. Heat-resistant equipment
E. Rubber equipment
Current cleansing of procedure room is performed twice a day with:
A. * 1 % chloramine solution
B. 3 % chloramine solution
C. 6 % peroxigen
D. 2 % glutaral solution
E. 70 % alcohol solution
Current cleansing of procedure room is performed with 1 % chloramine solution:
A. * Twice a day
B. 3 times a day
C. 1 time in 2 days
D. 1 time a week
E. 1 time a day
9. Defense of a patient, confidentiality in examinations and nursing interventions – this is:
A. * Confidentiality
B. Safety
C. Communication
D. Infectious safety
E. Respect
10. ?During taking therapeutical bath patient F. developed dizziness, piercing pain behind the
sternum. What should be the action of the nurse?
A. Continue the procedure;
B. Make water more cold;
C. * Stop the procedure, to remove the patient from the bath;
D. Inject mesatone solution;
E. All mentioned above.
11. Elimination of pathogenic microorganisms from the environment is called:
A. * Disinfection
B. Sterilization
C. Pasterization
D. Deratization
E. Disinsection
12. Equilibrium among physiological, psychological, sociocultural, intellectual, and spiritual
needs is known as
A. adaptation
B. * cognitive reframing
C. homeostasis
D. general adaptation syndrome
E. No correct answer
13. Family members of a patient with a terminal illness tell a nurse that the patient keeps asking
if she is dying. What is the nurse’s best response?
A. “Whenever the patient asks about dying, change the subject.”
B. * Tell the patient the truth in as gentle a way as possible.”
C. “Tell the patient that she will get better eventually.”
D. “Ask the patient if she is afraid to die.”
E. No correct answer
14. For better contact with a patient to obtain necessary information a nurse should observe the
following:
A. * To organize conversation structurally
B. To let a patient to lead in the discussion
C. To keep a silence and let a patient to select the topic of conversation
D. To put questions to the patient independently of his negative reaction
E. To stop the patient if he is nit answering in fact.
15. For disinfection of hands it is necessary to prepare 3 liters of 0?5 % chloramine B solution.
How mach chloramine will you need?
A. * 15 gr
B. 30 gr
C. 150 gr
D. 90 gr
E. 5 gr
16. For preparation of 0,2 % chloramine B solution it is necessary to take:,
A. * 2 gr of chloramine B solution and 1 liter of water
B. 20 gr of chloramine B solution and 980 ml of water
C. 20 gr of chloramine B solution and 1 liter of water
D. 2 gr of chloramine B solution and 100 ml of water
E. 2 gr of chloramine B solution and 980 ml of water
17. For which equipment disinfection hot air is not used?
A. * Optic instruments
B. Laboratory vials
C. Syringes of multiple-use
D. Clothes
E. Bed linen
18. Functions of nurses are:
A. Basic manipulations on the care of patients;
B. Prophylaxis of diseases;
C. A rehabilitation of patients after illness;
D. Implementation of settings of a doctor;
E. * All of the above
19. General care of patients includes the following measures:
A. Medicamentous treatment of a patient according to protocols
B. * Observation of personal hygiene by patients as well as prophylaxis of bedsores, inhospital infection, hygiene of clothes and bed linen
C. Providing of sanitary and hygienic of wards and other hospital rooms
D. Execution of doctor’s prescriptions
E. Rendering emergency care
20. General care of patients includes the following measures:
A. * Measures for creation of optimal conditions for recovery of a patient independently
of his diseases specifics
B. Medicamentous treatment of a patient according to protocols
C. Rendering emergency care
D. Providing of sanitary and hygienic of wards and other hospital rooms
E. Execution of doctor’s prescriptions
21. General cleansing of procedure room is performed 1 time in a week with usage of:
A. * 500 gram of 5 % chloramine B solution dissolved in 10 l of water
B. 500 gram of 3 % chloramine B solution dissolved in 1 liter of water
C. 500 gram of 6 % peroxigen
D. 2 % glutaral solution
E. 1 liter of 70 % alcohol solution
22. Hospital regimen regulates all presented below except of:
A. * Frequency of tiding rooms
B. Exact time and frequency of procedures performance by a patient
C. Body temperature measurement
D. Doctors’ morning rounds
E. Time for sleep
23. Hospital regimen regulates all presented below except of:
A. * Frequency of ventilation of wards
B. Exact time and frequency of procedures performance by a patient
C. Body temperature measurement
D. Doctors’ morning rounds
E. Time for sleep
24. Hospital regimen regulates all presented below except of:
A. * Disinfection and sterilization of instruments
B. Exact time and frequency of procedures performance by a patient
C. Body temperature measurement
D. Doctors’ morning rounds
E. Time for sleep
25. How are stress and substance abuse interrelated?
A. * The neurotransmitters stimulated by many abused substances enhance the sense of
well-being and cause the sensation of stress when the substance wears off.
B. Chronic substance abuse leads to destruction of brain cells in the limbic area, causing
an increased intensity of the stress response.
C. Most abused substances are perceived by the body as physiologic stressors, which
result in a heightened “fight-or-flight” response.
D. As tolerance or addiction develop, more of the abused substance is needed to achieve
the same pleasurable responses.
E. No correct answer
26. How diseases caused by medical personnel are called?
A. * Iatrogenias
B. Cancerophoby
C. Eretrogeny
D. Hepernosognoria
E. All mentioned
27. How long is it necessary to perform disinfection of rubber gloves muddy with blood in 3 %
chloramine solution?
A. 30 min
B. * 60 min
C. 90 min
D. 120 min
E. 240 min
28. How often bed linen should be changed in a hospital ward?
A. Each 3 days;
B. Each 7 days;
C. Each 10 days;
D. Everyday after bath or shower;
E. * As often as it becomes dirty but not more than every 10 days
29. How often examination of patients for pediculosis should be performed?
A. Every day;
B. 1 time in 2 days;
C. After each 7 days;
D. * After each 10 days;
E. After each 14 days.
30. How often should be patients in hospital department examinrd for tuberculosis?
A. * In admission, each 10 days of in-patient treatment and in discharge
B. Everyday
C. Each 10 days
D. In admission
E. Each 2 days
31. How often should washing of the floors be performed on wards?
A. 1 time a day;
B. * 2 times a day;
C. 3 times a day;
D. 1 time in 2 days;
E. Once a weak
32. How to provide disinfection of sputum of patients with tuberculosis?
A. To immerse into 3 % chloramine solution for 60 min
B. To immerse into 1 % chloramine solution for 180 min
C. * To immerse into 5 % chloramine solution for 240 min
D. To immerse into 3 % peroxigen solution for 60 min
E. No any answer is correct
33. If a patient has a problem it should be followed by such action of a nurse as:
A. * Examination of a patient
B. Everyday examination by a doctor
C. X-ray examination
D. Endoscopic examination
E. Ambulatory treatment
34. In caring for a confused elderly man, it is important to
A. close the door to the room so that he does not disturb other patients
B. keep the room dark and quiet at all times to keep the patient from becoming upset
C. remind him each morning to shower
D. keep the bedrails up except when you are at the bedside
E. * all of the above
35. In providing palliative care to a patient with a terminal illness, under which condition should
the nurse consider insertion of an indwelling urine catheter?
A. When the patient is taking medications affecting output
B. When the patient is taking medications affecting output
C. * When the patient would be more comfortable
D. When the patient is incontinent
E. No correct answer
36. In the communication process, encoding is defined as
A. a stimulus produced by a sender and responded to by a receiver
B. the person who intercepts the sender's message
C. a person who generates a message
D. * the use of language or other signs and symbols for sending messages
E. No correct answer
37. In which way patients with bronchial asthma should be transported from the admitting
department?
A. On their own feet;
B. On stretchers lying on the stomach;
C. On stretchers lying on the back;
D. On stretchers lying on the side;
E. * In semirecumbent position.
38. In-hospital infection – this is:
A. * Infectious disease which occurs in a patient during his staying in a hospital 48
hours after admission or nor far from discharge (also 48 hrs), as well disease of a
medical worker who treats patients or provides their care
B. A disease of different origin which occurs in a patient during his staying in a hospital
C. Infectious disease which occurs in a medical worker who treats patients or provides
their care
D. Any disease which occurs in a patient g 48 hours after admission in a hospital
E. Infectious disease which occurs in a patient during his staying in a hospital because
of another disease as well in medical worker who treats or provides care of this
patient
39. Ineffective coping with stressors is called
A. anxiety
B. * maladaptation
C. eustress
D. catharsis
E. No correct answer
40. Intestinal group of microorganisms are transmitted by the following channel:
A. * Fecal-oral
B. Respiratory
C. Transmissive (percutaneous)
D. Contact
E. Air
41. Main methods of nursing diagnostics:
A. * Observation, communication, analysis
B. Nursing intervention
C. Discussion and persuasion
D. Planning of care measures
E. Evaluation of care efficiency
42. Main principles of care of patients include all presented except of:
A. * Treatment
B. Safety
C. Confidentiality
D. Respect, protection of patient’s dignity
E. Communication
43. Mild anxiety affects the communication process by
A. severely restricting the perceptual field
B. blocking perception
C. * broadening the perceptual field
D. distorting the perceptual field
E. No correct answer
44. Name the first in history document in whichthe ethics norms of physician are lighted up :
A. * Oath of Hippocrate
B. Oath of F. Nightingale
C. An oath of loyalty of Ukraine
D. Constitution of Ukraine
E. Declaration of human rights
45. Nursing – this is a science directed on :
A. Treatment of patients
B. Warning of diseases
C. * Decision of problems of a patient and healthy patients.
D. Decision of problems of sick patients
E. Decision of problems of healthy patients
46. Pasterization – this is heating of different food products within 30 min at temperature:
A. * 70-80 0C
B. 80-90 0C
C. 80-95 0C
D. 95-100 0C
E. 60-70 0C
47. Providing of permanent measures for prophylaxis and spreading of infection – this is:
A. * Infectious safety
B. Confidentiality
C. Communication
D. Safety
E. Respect, protection of patient’s dignity
48. Sanitary regimen of a hospital regulates everything except of:
A. * Performance of special doctor’s prescriptions
B. Frequency of ventilation of wards
C. Preparation of disinfectant solutions
D. Discipline of medical stuff
E. Volume of air for one patient in a ward
49. Sanitary regimen of a hospital regulates everything except of:
A. * Time for body temperature measurement
B. Frequency of ventilation of wards
C. Amount of patients in a ward
D. Equipment of procedure room
E. Volume of air for one patient in a ward
50. Scab is transmitted by the following channel:
A. Fecal-oral
B. Respiratory
C. Transmissive (percutaneous)
D. * Contact through the skin
E. No any answer is correct
51. Select definition of ethics:
A. * Study of principles, values and norms of moral
B. Study of principles and values in human behavior
C. Study of values and norms of current life
D. Study of certain collaborations between people
E. Study of principles which people observe
52. Select functional duty of a nurse:
A. * Development of nursing practice through critical thinking and scientific research
B. Help for a person in definition and achievement of physical, mental and social health
and welfare
C. To help in patient’s heath improvement and preservation
D. Maximal participation of a person in preservation of his health
E. Prophylaxis of diseases
53. Select functional duty of a nurse:
A. * Care of patients and its control, prophylaxis, treatment and rehabilitation, support
of a patient, family or group of people
B. Help for a person in definition and achievement of physical, mental and social health
and welfare
C. To help in patient’s heath improvement and preservation
D. Maximal participation of a person in preservation of his health
E. Prophylaxis of diseases
54. Select functional duty of a nurse:
A. * Effective participation in medical sanitary brigade
B. Help for a person in definition and achievement of physical, mental and social health
and welfare
C. To help in patient’s heath improvement and preservation
D. Maximal participation of a person in preservation of his health
E. Prophylaxis of diseases
55. Select functional duty of a nurse:
A. * Teaching patients how to preserve and restore his health
B. Help for a person in definition and achievement of physical, mental and social health
and welfare
C. To help in patient’s heath improvement and preservation
D. Maximal participation of a person in preservation of his health
E. Prophylaxis of diseases
56. Select patient’s needs in safety:
A. * Clothes, home, refuge
B. Sex, water, air
C. Independence, achievements, self-expression
D. Gratitude, property, self-respect.
57. Select patient’s needs in safety:
A. * Help, home, defense
B. Sex, water, air
C. Friends, love, family
D. Independence, achievements, self-expression
E. Gratitude, property, self-respect.
58. Select the method which is not used for disinfection:
A. * Radiological
B. Mechanical
C. Chemical
D. Physical
E. Combined
59. Select the principle of care of patients:
A. * Infection safety
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
60. Select the principle of care of patients:
A. * Communication
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
61. Select the principle of care of patients:
A. * Independency
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
62. Select the principle of care of patients:
A. * Respect (support of sense of dignity)
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
63. Select the principle of care of patients:
A. * Safety
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
64. Select the principle of care of patients:
A. * Confidentiality
B. Viability maintainance
C. Dependence
D. Discipline
E. Innovation
65. The aim of nursing includes all except of:
A. * Treatment of a patient
B. Help for a patient in achievement of physical, mental and social health and welfare
C. To help in patient’s heath improvement and preservation
D. Maximal participation of a person in preservation of his health
E. Prophylaxis of diseases
66. The basic patient’s rights are
A. Right to be treated
B. Right to refuse treatment
C. Right to be informed
D. Non of them
E. * All of them
67. The basis of a person's philosophy of life is her
A. culture
B. value system
C. * ethnicity
D. educational level
E. No correct answer
68. The fifth hierarchy of needs according to Maslow is
A. self-estimation
B. need for love and belonging
C. safety and security
D. * self-actualization
E. No correct answer
69. The first hierarchy of needs according to Maslow is
A. * vital needs
B. self-estimation
C. need for love and belonging
D. safety and security
E. self-actualization
70. The first step in becoming nonjudgmental is to
A. learn more about other people
B. accept your own feelings
C. identify the source of your negative feelings
D. * recognize that one's thoughts are biased and prejudicial
E. No correct answer
71. The nurse is caring for a panic-stricken patient. What is the priority initial nursing action?
A. Perform a physical assessment.
B. Leave the patient alone in a darkened, quiet room.
C. * Stay with the patient.
D. Notify the physician.
E. No correct answer
72. The regimen when patient all the time should be in bed and it is not allowed to turn in a bed
and sit in it is called:
A. Bed mode
B. * Strong bed mode
C. Ambulant regimen
D. Free regimen
E. No correct answer
73. The regimen when patient of on in-patient hospital treatment is allowed to walk within the
hospital department and on the street is called:
A. Bed mode
B. Strong bed mode
C. Ambulant regimen
D. * Free regimen
E. No correct answer
74. The regimen when patient of on in-patient hospital treatment is allowed to walk within the
hospital department but not leave it is called:
A. Bed mode
B. Strong bed mode
C. * Ambulant regimen
D. Free regimen
E. No correct answer
75. The regimen which allows to a patient to turn in a bed and sit in it is called:
A. * Bed mode
B. Strong bed mode
C. Ambulant regimen
D. Free regimen
E. Free regimen
76. The second hierarchy of needs according to Maslow is
A. vital needs
B. self-estimation
C. need for love and belonging
D. * safety and security
E. self-actualization
77. The stages of the general adaptation syndrome in correct sequence are
A. exhaustion, resistance, alarm
B. alarm, resistance, exhaustion
C. * resistance, exhaustion, alarm
D. exhaustion, alarm, resistance
E. No correct answer
78. The term for letting patients express their feelings is
A. * catharsis
B. rapport
C. empathy
D. empowerment
E. No correct answer
79. The third hierarchy of needs according to Maslow is
A. self-estimation
B. * need for love and belonging
C. safety and security
D. self-actualization
E. No correct answer
80. Therapeutic use of self involves what type of skills by the doctor?
A. verbal communication
B. nonverbal communication
C. * both verbal and nonverbal communication
D. primarily technical skills
E. No correct answer
81. Therapeutic use of self involves what type of skills by the nurse?
A. verbal communication
B. nonverbal communication
C. * both verbal and nonverbal communication
D. primarily technical skills
E. No correct answer
82. To patient’s rights belong all the following except of:
A. * Cause harm for medical personnel
B. To receive information about his health state and doctor’s prescriptions
C. To refuse of medical care and receive information about consequences of refusal of
treatment
D. To keep confidentiality of records about his clinical state and to be able to revise
them
E. To know the cost of treatment
83. To patient’s rights belong all the following except of:
A. * Cause physical or moral harm for other patients
B. To receive information about his health state and doctor’s prescriptions
C. To refuse of medical care and receive information about consequences of refusal of
treatment
D. To keep confidentiality of records about his clinical state and to be able to revise
them
E. To know the cost of treatment
84. To professional requirements to a nurse belong all the following except of:
A. * Ability to determine necessary volume of laboratory and instrumental
examinations for diagnostics of pathological process
B. Creative attitude to her duties
C. Ability of quick orientation in information
D. Permanent improvement 0of her special knowledge and skills
E. Competence in moral and ethical rights of a patient
85. Trained nurse has the right on:
A. * Protection of her dignity
B. To render care of a patient because of religious reason
C. Take for patient’s relatives complete information about patient’s health condition
D. Control patient’s correspondence
E. Use new methods of treatment
86. Trained nurse has the right on:
A. * Help in performance of her professional duties
B. To render care of a patient because of religious reason
C. Take for patient’s relatives complete information about patient’s health condition
D. Control ptient’s correspondence
E. Use new methods of treatment
87. Trained nurse has the right:
A. * To render care of a patient if environmental condition don’t correspond to the norm
and can cause harm for her health
B. To render care of a patient because of religious reason
C. Take for patient’s relatives complete information about patient’s health condition
D. Control patient’s correspondence
E. Use new methods of treatment
88. Trained nurse have just finished injection for the patient with viral hepatitis. How to provide
disinfection of the syringe and the needle?
A. * To immerse into 3 % chloramine solution for 60 min
B. To immerse into 1 % chloramine solution for 180 min
C. To immerse into 5 % chloramine solution for 240 min
D. To immerse into 3 % peroxigen solution for 60 min
E. No any answer is correct
89. Truly caring for what happens to another person is called
A. acceptance
B. * empathy
C. compassion
D. sympathy
E. No correct answer
90. Tuberculosis is transmitted by the following channel:
A. Fecal-oral
B. * Respiratory
C. Transmissive (percutaneous)
D. Contact through the skin
E. No any answer is correct
91. Understanding another person's perception of a situation is called
A. * empathy
B. acceptance
C. empowerment
D. advocacy
E. No correct answer
92. Viral hepatitis is transmitted by the following channel:
A. Fecal-oral
B. Respiratory
C. * Transmissive (percutaneous)
D. Contact through the skin
E. No any answer is correct
93. Ways of conduction of AIDS:
A. From a mother to a fetus
B. Contact
C. In sexual rerlations
D. In parenteral interventions
E. * All mentioned
94. What among the following does not belong to risk-group of in-hospital infection?
A. * Visitors
B. Patients who are undergone a large amount of diagnostic manipulations
C. Patients with chronic diseases
D. Senile patients
E. Patients with affected immunity
95. What basic concepts, in obedience to an international agreement, is philosophy of nursing
businessbased on?
A. Air, water, sun, motion
B. Relatives, friends, colleague
C. Patient, doctor, a nurse
D. Patient, trained nurse, dietologist, health
E. * Patient, nursing, environment, health.
96. What document does regulate the actions of nurses in Ukraine?
A. * Ethics Code of the trained nurse of Ukraine.
B. Constitution of Ukraine.
C. Genevan declaration.
D. Code of Nursing
E. Declaration of Association of nurses of Ukraine.
97. What does sanitary-hygienic regimen of a hospital include ?
A. Disinfection of equippment
B. safe feeding
C. control of health of personnel and patients
D. An observance of requirements to the stanitary state of apartments of hospital and
adjoining territory
E. * All above-stated
98. What in-hospital infection does arise more frequent in medical establishments of any type?
A. * Acute viral infections of upper respiratory tract
B. Acute infections diarrhoeas
C. Transmisive infections
D. Viral hepatitis b and C.
E. AIDS
99. What is a mindset that strongly influences one's decisions and behaviors called?
A. * paradigm
B. imagery
C. defense mechanism
D. stressor
E. No correct answer
100.
What is antiseptics directed on?
A. * Elimination of microorganisms from an organism of a wound
B. Prophylaxis of contamination of wound by infection
C. Elimination of microorganisms from a wound
D. Elimination of microorganisms from an organism
E. Elimination of microorganisms and their spores
101.
What is aseptics directed on?
A. Elimination of microorganisms from an organism of a wound
B. Prophylaxis of contamination of wound by infection
C. Elimination of microorganisms from a wound
D. Elimination of microorganisms from an organism
E. * Elimination of microorganisms and their spores
102.
What is efficacy of 4-slided mask made of gauze as a defense against respiratory
infection?
A. * 10 %
B. 1 %
C. 99 %
D. 50 %
E. 0 %
103.
What is mechanism of conduction of venereal infections:
A. Respiratory
B. * Contact
C. Transmissive
D. Fecal-oral
E. All mentioned
104.
What is needed for rincing of the eyes in a patient with discharge from the eyes?
A. 70 % alcohol solution.
B. 3% H2O2
C. * potassium permarganate solution 1:1000
D. running water
E. 1% chloramine solution
105.
What responsibility is carried by a nurser for careless attitude toward the professional
duties, that resulted in innoculation of a patient with AIDS?
A. Moral.
B. Administrative.
C. Civil.
D. Does not carry responsibility.
E. * Criminal.
106.
When analyzing components of the communication process, the nurse identifies
which as an internal stimuli?
A. sight
B. sensation
C. taste
D. * hunger
E. No correct answer
107.
When conducting an interview with patient a nurse must not
A. * Forecast the diagnosis
B. Set a contact and mutual understanding
C. Give the assessment of patient’s health
D. Collect information about the general state of patient’s health
E. Do practical preparations to treatment
108.
When interviewing a patient, there are long pauses of silence. The patient does not
respond to the nurse's questions. All of the following are appropriate responses by the nurse
to the patients silence EXCEPT
A. sitting quietly and observing the patient's behavior
B. controlling one's own discomfort during quiet periods or conversational lulls
C. using appropriate eye contact
D. * asking the patient to answer the question at hand
E. No correct answer
109.
When is an epidemiology inspection conducted by an epidemiologist with
participation of head of a department and a deputy of the head of a hospital?
A. * at presence of a case of in-hospital infection
B. at presence of case of sepsis
C. at presence of 2 and more cases of in-hospital infection
D. at presence of 3 and more cases of in-hospital infection
E. at presence of 3 and more cases of in-hospital infection or one case of sepsis
110.
When purulent-septic in-hospital infection develop?
Inoculation during operations, injections
During delivery or abortion
In blood ransfusion, hemodialysis
In invasive diagnostic procedures
* All mentioned
111.
When transferring a patient from a bed to a wheelchair, the nurse should
A. raise the height of the bed
B. position the wheelchair 2 feet from the side of the bed
C. * lock the wheelchair brakes and elevate the foot pedals
D. pivot the patient so the patient is facing the wheelchair
E. No correct answer
112.
When transferring a patient from the bed to a chair, the nurse should do all of the
following EXCEPT
A. remove her stethoscope before transfer
B. * ask the patient to grab onto her neck
C. place the wheelchair parallel to the bed and as close as possible
D. place her thumbs downward to prevent potential wrist injury as she lifts
E. No correct answer
113.
Which action constitutes active euthanasia?
A. Increasing opioid-based pain medication to achieve adequate pain relief
B. * Discontinuing treatment of bacterial pneumonia with antibiotics
C. Allowing only oral fluids for a confused patient
D. Limiting wound care to only once daily
E. No correct answer
114.
Which activity is most likely to take place in the space known as social distance?
A. checking the patient's IV
B. leading a group discussion
C. * rocking a baby
D. assessing the patient's pain
E. No correct answer
115.
Which causes of septic intravenous infection do you know?
A. Surgical operations
B. Labours, abortions
C. At blood transfusion, hemodialysis
D. At invasion diagnostic procedures
E. * All of the above
116.
Which comment is appropriate for the nurse to make during the introduction stage of
the assessment interview?
A. "It is almost time for me to leave. Do you have any questions for me?"
B. "Describe your pain."
C. * "I need to ask you a few questions about your health so we can better plan your
care."
D. "Describe the number and characteristics of your bowel movements."
E. No correct answer
117.
Which factors of healthy life style should a nurse recommend to a patient?
A. Physical activity and hardening of an organism
B. Intellectual and physical activity
C. Physical activity and healthy nutrition
D. To avoid harmful habits
E. * All mentioned
118.
Which group of patient’s needs belong the following: discharge of products of vital
functions, food, water, air, sleep:
A. * Physiological needs
A.
B.
C.
D.
E.
B.
C.
D.
E.
Need in safety
Social needs
Need in self-respect
Needs in self-expression
119.
Which group of patient’s needs belong the following: sex, food, air, water:
A. * Physiological needs
B. Need in safety
C. Social needs
D. Need in self-respect
E. Needs in self-expression
120.
Which instruction should be given to the family regarding noise in the room when
they are spending time with a dying family member?
A. “Remember that she can't hear you.”
B. “Try to get her to talk or respond to you.”
C. “Avoid making any noise when you are with her.”
D. * “Talk as softly to her as you would if you knew she could hear you.”
E. No correct answer
121.
Which intervention is compatible with the goals for end-of-life care?
A. Administering a flu shot
B. Preventing the patient with COPD from smoking
C. Performing passive range-of-motion exercises to prevent contractures
D. * Permitting the patient with diabetes mellitus to have a serving of ice cream
E. No correct answer
122.
Which of the following is a technique based on the theory that a person's emotional
response is determined by the meaning attached to an event?
A. crisis intervention
B. guided imagery
C. progressive muscle relaxation
D. * cognitive reframing
E. No correct answer
123.
Which of the following is an example of local adaptation syndrome?
A. increased pulse rate
B. increased metabolism
C. diaphoresis
D. * inflammation at the injured site
E. No correct answer
124.
Which of the following is not a balancing factor influencing a person's resolution of a
crisis?
A. perception
B. situational support
C. coping mechanism
D. * secondary gain
E. No correct answer
125.
Which of the following is not a characteristic of a crisis?
A. identifiable precipitating event
B. overwhelming
C. sudden occurrence
D. * can cause mental illness
E. No correct answer
126.
Which of the following nursing actions is most likely to take place in the space
known as personal distance?
A. taking vital signs
B. one-on-one teaching
C. * teaching a class
D. giving an injection
E. No correct answer
127.
Which of the following nursing actions is most likely to take place in the space
known as personal distance?
A. taking vital signs
B. one-on-one teaching
C. * teaching a class
D. giving an injection
E. No correct answer
128.
Which of the following represents a major philosophy of the hospice concept?
A. * Improving the quality of life for a patient with a terminal illness
B. Assisting the family of a terminally ill patient to grieve more efficiently
C. Ensuring that a terminally ill patient is never alone
D. Removing the stigma of death
E. No correct answer
129.
Which of the following would not be appropriate in working with a very anxious
patient?
A. relieving pain
B. guided imagery
C. teaching progressive muscle relaxation
D. * encouraging the patient to be stoic
E. No correct answer
130.
Which statement is true about the cognitive part of communication?
A. * The receiver interprets and gives meaning to stimuli.
B. It is the medium through which a message is transmitted.
C. It refers to spoken words and cues.
D. It relates to the distance between persons.
E. No correct answer
131.
Which statement or information obtained from a patient during assessment for
alcohol abuse alerts the nurse to the possibility of alcohol addiction?
A. The patient says he or she drinks alcohol to feel less stressed and have a good time.
B. The patient has been arrested once for driving under the influence of alcohol.
C. * The patient uses alcohol to stop his or her hands from shaking.
D. The patient drinks alcohol daily.
E. No correct answer
132.
Which statement regarding substance abuse is true?
A. Substance abuse should not be considered a public health problem because it only
affects individuals rather than society as a whole.
B. * Even when a person is not “addicted” to a substance, abuse can cause physical,
psychological, and social problems.
C. Substance abuse is rarely seen among middle-class patients.
D. Cocaine is the most commonly abused substance.
E. No correct answer
133.
2 days after intramuscular injection a patient developed pain in the buttock region.
The zone of injection is swollen and hard at palpation. The skin in this place is red. Which
complication is present in the patient?
A. Injury of nerves;
B. Abscess;
C. * Infiltration;
D. Hematoma;
E. Allergy.
134.
24 hours after intramuscular injection a patient developed pain in the buttock region
and fever. The zone of injection is swollen, skin above it is red, fluctuation is felt by
palpation. Which complication is present in the patient?
A.
B.
C.
D.
E.
Injury of nerves;
* Abscess;
Infiltration;
Hematoma;
Allergy.
135.
24 hours after intramuscular injection a patient developed pain in the buttock region
and fever. The zone of injection is swollen, skin above it is red, fluctuation is felt by
palpation. Postinjectional abscess is diagnosed in the patient. What tactics of medical
personell should be?
A. To administer medicines in other places;
B. To administer antibiotics;
C. To apply 50 % spirt compresses;
D. * Evacuation of pus by surgical way and futher administer of antibiotics;
E. To stop administration of any medicine.
136.
Patient P. is sufferind from hypertension of І stage (blood pressure -140/90 mm hg).
After intramuscular injection of medicamentous preparation suddenly abrupt skin paleness
appeard, and the patient had lost consciousness. Data of inspection: BP is 90/50 mm of Hg,
tachycardia. What patological condition has developed?
A. * Collapse
B. Shock
C. Hypertonic crisis
D. Heart attack
E. Bronchospasm
137.
6 hours after intramuscular injection a patient developed pain in the buttock region.
The zone of injection is swollen and dull at palpation. Which complication is present in the
patient?
A. Injury of nerves;
B. Abscess;
C. * Infiltration;
D. Hematoma;
E. Allergy.
138.
A doctor prescribed for a patient injection of 10 ml 10% CaCl2 solution. Which type
of injection should a nurse perform?
A. * intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
139.
A doctor prescribed for a patient injection of 4% KCL solution.Which type of
injection should a nurse perform?
A. intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. * i/v slow drop infusion
140.
A doctor prescribed for a patient injection of vitamin E. Which type of injection
should a nurse perform?
A. intravenous
B. * subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
141.
A doctor prescribed for a patient with heart failure injections of strophanthin 0.05%
0.5 ml i/v diluted in 0.9 % saline solution. Choose the syringe of proper capacity:
A.
B.
C.
D.
E.
* 20ml
5ml
2ml
1ml
insulin syringe
142.
A doctor prescribed injections morphine for a patient with lung cancer 1 time a day.
How should morphine be kept?
A. in a fridge at t +2 - +8 °C
B. in a fridge at t 0 – (+2) °C
C. * in a safe (locked)
D. in a locked box
E. in a dark place
143.
A doctor prescribed injections of 24 UN of insulin for a patient with diabetics
mellitus 3 times a day. How should insulin be kept?
A. * in a fridge at t +2 - +8 °C
B. in a fridge at t 0 – (+2) °C
C. in a safe (locked)
D. in a locked box
E. in a dark place
144.
A nurse during intravenous injection of medical didn’t remove all the air off the
syringe. Which complications may develop in the patient?
A. * air embolism
B. allergic reaction
C. infiltration
D. fat embolism
E. hematoma
145.
A nurse finishes taking body temperature of patients in the department and is going
to disinfect thermometers in 3% peroxygen. How long should disinfection last?
A. * 80 min
B. 10 min
C. 20 min
D. 60 min
E. 90 min
146.
A nurse is measuring patient’s body temperature in rectum. On which depth should
be thermometer inserted into the rectum?
A. * 3-4 cm
B. 1-2 cm
C. 5-6 cm
D. 5-7 cm
E. 10 cm
147.
A nurse is performing i/v infusion of antibiotic for a patient. In 40 minutes after
beginning the procedure the patient develops nervous excitation, cough, vomiting and
palpitation, BP drops. Skin is diffusely red. Which complication developed in the patient?
A. * anaphylactic shock
B. air embolism
C. fat embolism
D. gastrointestinal bleeding
E. cardiac asthma attack
148.
A nurse of therapeutic department during subcutaneous administration of medical
preparation for a patient revealed that she mislated the drug and injected 1ml of insulin
instead of 1ml of heparin. What should the nurse do?
A. * immediately report to a doctor about the mistake
B. inject for a patient the antipoisons if insulin
C. inject for a patient the antagonist of insulin
D. to observe about the patient more carefully
E. to report to a doctor if patient’s condition will be worst.
149.
A nurse took oleic solution into a syringe, treated a skin with alcohol solution and
inserted the medicine intramuscullary. After the manipulation the patient developed
dizziness, camphor smell become to be felt from his mouth. What mistake did the nurse do?
A. Administer higher dosage of the preparation;
B. * Choose not correct way of administration;
C. Did not dissolve the medicine;
D. All mentioned above;
E. The procedure was performed correctly.
150.
A patient 45 year old has renal failure. A doctor prescribed subcutaneous
administration of medicine for him. Which volume of solution is it possible to inject
subcutaneously?
A. 1 ml
B. 2 ml
C. 3 ml
D. 5 ml
E. * 10 ml
151.
A patient is on treatment with a diagnosis “flu”. His daily fluctuations in a
temperature are heterogeneous, of different duration.Specify the type of fever
A. * irregular type
B. remittent type
C. reverse type
D. purgative type
E. gectic type
152.
A patient was injected medical preparation in the morning. In the evening of the
same day he reported a nurse about pain in the place of injection, swelling of this area. How
to solve the patient’s problem?
A. * to apply a hot-water bottle
B. to use electrical procedures
C. to apply warming compress with 50% alcohol
D. to apply cold water compress with 50% alcohol
E. to apply an ice bag
153.
A patient with infectious disease developed body temperature 40*C, delirium and
hallucinations. Which method should be used in care program?
A. * application of an ice bag to patient’s head
B. application of mustard plasters on the back of the head
C. application of hot water bottle
D. application of warming compress
E. cups along spinal cord.
154.
After i/m injection of 5ml 25 % MgS04 solution into buttock region the patient feels
numbness on the posterior and external surface of the tight, shin and the foot on the side of
injection. What is the cause of these sensations?
A. * a nurse selected place for injection not correctly
B. radiculitis
C. ostheoporosis
D. increased individual sensitivity to drug
E. pyrogenic reaction
155.
After injection of pennicillin the patient turned pale, his forehead become weat,
while pulse – thready. What pathological condition developed in this case?
A. Abscess;
B. Infiltration;
C. Hematoma;
D. Flebitis;
E. * Allergic reaction.
156.
After intramuscular administration of a medical preparation the patient started to
complain of feeling of heat in the body. Side effect of which medicine should a nurse report
about to a patient before injection?
A. * nicotinic acid
B. aspirin
C. dibazol
D. ascorbic acid
E. analgin
157.
After intravenous injection a patient developed pain in cubital region. By inspection
the strakes of skin redness along the cubital vein are revealed, the vein is painful by
palpation. Wich complication is present in the patient?
A. Necrosis;
B. Abscess;
C. Infiltration;
D. Hematoma;
E. * Flebitis.
158.
After intravenous injection bleeding cannot be stopped by pressing the place of
puncture with cotton ball. What is it necessary to do?
A. To try to press this place with cotton ball again;
B. To take a larger cotton ball
C. To apply a tourniquett;
D. To call on a surgen;
E. * To apply a pressing bandage.
159.
During administration of antibiotic a patient developed dizziness, general weakness,
palpation and he lost consciousness soon. What should be first action of a nurse?
A. * to stop administration of antibiotic
B. to take to inhale ammonial spirit for the patient
C. to put the patient in the position with rised legs and lowered head
D. to apply a hot-water bottle
E. to take oxygen
160.
During I/V drop infusion of preparation the patient developed headache, chills, fever.
If to be asked, the patient reported that he kept this preparation on sunlight for 2days. What
happened to the patient?
A. * pyrogenic reaction
B. air embolism
C. necrosis
D. abscess
E. infiltration
161.
During intravenous administration of aminophyline for the patient with attack of
bronchial asthma the patient has felt dizziness, feeling of heat, nausea. What technical
mistakes were made by the nurse in this case?
A. Irritation of the vein by the preparation;
B. Infiltration;
C. Hematoma;
D. * Drug side effect because of too fast administration of medicine;
E. The vein isn’t punctured and the medicine is administered into surrounding tissues;
162.
During intravenous injection of calcium chloridi solution the patient developed pain
in cubital region. By inspection swelling and skin reddness in cubital region is revealed.
Risk of which complication is present in the patient?
A. * Necrosis;
B. Abscess;
C. Infiltration;
D. Hematoma;
E. Flebitis.
163.
During the procedure of venepunction a nurse checked difficulty at insetring of the
needle into the vein, swelling of surrounding tissues has developed around the vein. What
complication is present in this case?
A. Irritation of the vein by the preparation;
B. Infiltration;
C. Hematoma;
D. Drug side effect because of too fast administration of medicine.
E. * The vein isn’t punctured and the medicine is administered into surrounding tissues;
164.
In a surgical department the patient of 52 years, temperature of the body 40,6 degrees
of C. He’s excited, raves, there is a blush on cheeks. How is such temperature of body
named ?
A. * pyrectic
B. normal
C. subfebril
D. febril
E. giperpiretic
165.
In a surgical department the patient of 52 years, temperature of the body 40,6 degrees
of C. He’s excited, raves, there is a blush on cheeks. How is such temperature of body
named ?
A. * pyretic
B. normal
C. subfebril
D. febril
E. hyperpyretic
166.
In patient A., 45 years old, within 20 days of the treatment in infectious department
fever periodically (every 3rd day) rised up to 40-41 0C and then returned to the norm. What
type of fever does the patient have?
A. Stable;
B. Irregular;
C. Hectic fever;
D. Remittent;
E. * Recurrent.
167.
In patient A., 45 years old, within 6 days of the treatment in a surgical department
fever with circadian variations for about 4-5 0C. was present, temperature level in the
evening and at night was within 40-41 0C, in the morning at subfebrile or normal level.
What type of fever does the patient have?
A. Stable;
B. Irregular;
C. * Hectic fever;
D. Remittent;
E. Recurrent.
168.
In patient A., 45 years old, within 6 days of the treatment in fever with circadian
variations for about 1-2 0C. was present, temperature level in the evening and at night was
high, in the morning - at normal level. What type of fever does the patient have?
A. Stable;
B. Intermittent;
C. Hectic fever;
D. * Remittent;
E. Recurrent.
169.
In patient A., 45 years old, within 6 days of the treatment in fever with circadian
variations for about 1-2 0C. was present, temperature level in the evening and at night was
high, in the morning – 1-2 0C less, but didn’t return for the normal level . What type of fever
does the patient have?
A.
B.
C.
D.
E.
Stable;
* Intermittent;
Hectic fever;
Remittent;
Recurrent.
170.
In patient A., 45 years old, within 6 days of the treatment in a surgical department
fever with circadian variations less than 1 0C was present and didn’t normolise. What type
of fever does the patient have?
A. * Stable
B. Irregular;
C. Hectic fever;
D. Remittent;
E. Recurrent.
171.
In patient A., 45 years old, within 6 days of the treatment in a surgical department
fever with circadian variations for about 1-2 0C. was present, temperature level is irregular.
What type of fever does the patient have?
A. Stable;
B. * Irregular;
C. Hectic fever;
D. Remittent;
E. Recurrent.
172.
A nurse should perform the diagnostic test on the individual sensitiveness of a patient
to prescribed antibiotic. What amount of units of antibiotic is it necessary to enter
intradermally?
A. 5 000 OD
B. 100 000 OD
C. 10 000 OD
D. * 1 000 OD
E. 20 000 OD
173.
It is necessary to dissolve antibiotics a 0,9% saline solution. Nurse dressed a mask,
twice washed down hands with water and soap, dried up a towel. Attentively read a label, by
sight defined transparency of solution, dressed rubber gloves, took off removable part of
metallic disperser scissors. Specify the following action of the trained nurse:
A. To take off scissors fully metallic disperser.
B. * To process the cork of small bottle with the 700 ethyl spirit.
C. To name the date and time oppening the small bottle.
D. To process rubber gloves with the 700 ethyl spirit.
E. To enter an injection needle in a small bottle.
174.
Marking the temperature sheet of a patient with sepsis, trained nurse noticed that
during 3 days the difference of morning and evening temperature of the body makes 4
degrees of C. How this fever is named?
A. Undulating
B. * Hectic
C. Purgative
D. Remittent
E. Turning
175.
Patient A with body temperature 41,3 0C was taken antipyretics. After 20 min
temperature had decreased, but the patient had developed severe general weakness, at
physical examination pulse is filiform, limbs are cool. What period of fever takes place?
A. Period of elevation of body temperature;
B. Period of stable high body temperature;
C. Period of gradual decrease of body temperature;
D. * Period of critical decrease of body temperature;
E. No any one is correct.
176.
Patient A with body temperature 41,3 0C was taken antipyretics. After 20 min
temperature had decreased, but the patient had developed severe general weakness, at
physical examination pulse is filiform, limbs are cool. How to provide the initial care for
him?
A. The patient should observe a bed mode, be covered with a warm blabket and drink a
lot of hot liquid;
B. The patient should observe a bed mode, and drink a lot of liquid, cold compresses on
the forehead, when body temperature is higher than 38,0 0C – antipyretics;
C. * Patient should be lay down with head depended and rising legs. Vasopressors
should be used;
D. The patient should observe free mode and usual nutrition rich with vitamins;
E. No any care is necessary.
177.
Patient A. is asking for the medial medical personell to apply him mustard plasters.
What should the nurse on duty do in this case?
A. * T report a doctor and to perform his following prescriptions;
B. To apply mustard pasters;
C. To send the patient to a doctor;
D. All mentioned;
E. No any answer is correct.
178.
Patient B. asks to crush a pill which cointains iron. What should a nurse recommend
to the patient?
A. To crush the pill;
B. To refuse usage of this drug;
C. * To explain to the patient that such a pill is not usefull to crush becouse of affection
for his teeth and recommend to swallow uncrushed pill;
D. All mentioned;
E. No any answer is correct.
179.
Patient C. has hypertension. He feels strong pain in his back of the head, explains it
by rising of his blood pressure and requires from a nurse to take him antihypertensive
preparation. What should a nurse do in this case?
A. * To take patient’s blod preassure, to report a doctor and to perform his following
prescriptions;
B. To take clopheline tablet for the patient;
C. To send the patient to a doctor;
D. All mentioned;
E. No any answer is correct.
180.
Patient complains of feeling of heat, dryness in the mouth and headache. Body
temperature is stable high for 3 days. Colour of skin is red. How to provide the care for this
patient?
A. The patient should observe a bed mode, be covered a warm blabket and drink a lot of
hot liquid;
B. * The patient should observe a bed mode, and drink a lot of liquid, cold compresses
on the forehead, when body temperature is higher than 38,0 0C – antipyretics;
C. Patient should be lay down with head depended and rising legs. Vasopressors should
be used;
D. The patient should observe free mode and usual nutrition rich with vitamins;
E. No any care is necessary.
181.
Patient complaints of feeling of heat, dryness in the mouth and headache. Body
temperature is stable high. Colour of skin is red.What period of fever takes place?
A. Period of elevation of body temperature;
B. * Period of stable high body temperature;
C. Period of gradual decrease of body temperature;
D. Period of critical decrease of body temperature;
E. No any one is correct.
182.
Patient complaints of general weakness, pain in muscles, headache, chill. Body
temperature is 37,5 0C. How to provide the initial care for this patient?
A. * The patient should observe a bed mode, be covered a warm blabket and drink a lot
of hot liquid;
B. The patient should observe a bed mode, and drink a lot of liquid, cold compresses on
the forehead, when body temperature is higher than 38,0 0C – antipyretics;
C. Patient should be lay down with head depended and rising legs. Vasopressors should
be used;
D. The patient should observe free mode and usual nutrition rich with vitamins;
E. No any care is necessary.
183.
Patient complaints of general weakness, pain in muscles, headache, chill which
arised after overcooling. Body temperature is 38,7 0C. What period of fever takes place?
A. * Period of elevation of body temperature;
B. Period of stable high body temperature;
C. Period of gradual decrease of body temperature;
D. Period of critical decrease of body temperature;
E. No any one is correct.
184.
Patient D. is on treatment in an infectious department with a diagnosis “malaria”. His
temperature suddenly rises to 40 degrees of C and quickly goes down to the normal level
with a reiteration in 1-2 days. Specify this type of fever.
A. * recurrent
B. gectic
C. undulating
D. disfigured
E. purgative
185.
Patient had prolonged fever which had dropped to the normal limit 20 min before.
Now the patient has severe weakness, excess sweating. At inspection – cyanosis of the lips,
cool limbs, filiform pulse are revealed. How the patient’s condition is called?
A. Heart failure;
B. Faint;
C. * Collapse;
D. Shock;
E. Respiratory failure.
186.
Patient of 26 years with the temperature of the body 38,1 degrees of C. He feels sick,
sharp weakness, headache. What element of examination must be applied in the first period
of fever?
A. * to warm a patient
B. to expose a patient to cold
C. to apply an ice-bag to the head
D. to give cold water
E. to put around a patient bottles with cold water
187.
Patient of 38 years after i/v introduction of Ceftrsaxon developed such sympthoms:
anxiety, dizziness, headache, somnolence, feeling of heat, hyperemia of skin covers, itch,
edema, spastic cough, dyspnea. Heartbeet - 100 per min, BP - 80/40 mmHg. What is
credible diagnosis?
A. Cardiogenic shock
B. * Toxic - infectious shock
C. Hemorragic shock
D. Citrate shock
E. * Anaphylactic shock
188.
Patient of 55 years old complains of pain, presence of compression along the vein
after i/v introductions into it. What complication did arise up?
A. lipidum embolism.
B. Air embolism.
C. Infiltration.
D. Abscess.
E. * Phlebitis.
189.
Patient of 65 year old is prescribed heparin.Which anatomical area on the patient’s
body should a nurse select for injection?
A. Upper-external quadrant of buttock region
B. lower-external quadrant of buttock region
C. internal surface of shoulder
D. internal surface of tight.
E. * lateral surface of abdominal wall
190.
Patient of 65 year old is prescribed i/m administration of 5ml 25 % MgS04/Which
anatomical area on the patient’s body should a nurse select for injection?
A. * Upper-external quadrant of buttock region
B. lower-external quadrant of buttock region
C. external surface of shoulder
D. external surface of tight
E. ateral surface of abdominal wall
191.
Patient S., 35 years old delivered to the infectious hospital with complaints about
feeling of heat, headache, thirst. Objectively: skin is dry, red, hot by touch. Body
temperature is 39,6 degrees of C, pulse is 98 per min. Name the degree of increase of
temperature.
A. * high fever
B. moderate fever
C. overhigh fever
D. subfebrilitetis
E. permanent fever
192.
Patient with diabetes mellitus is passing treatment in an endocrinologic department.
A doctor prescribed injections of insulin 24 UN twice a day. How many ml of insulin must a
nurse collect in the syringe which capacity is 2 ml?
A. 0,9
B. 1,0
C. 0,8
D. * 0,6
E. 0,7
193.
The injections of 500 000 UN penicilinum are prescribed for a patient 6 times per
day. How many ml of solvent a nurse must enter in a small bottle which containes 500 000
OD of penicilinum.
A. Amount of solvent is not important.
B. 2 ml.
C. 3 ml.
D. * 5 ml
E. 10 ml.
194.
While intravenous introduction of 10% calcium chloride a patient experienced pain
in the place of injection, itch, swelling of tissues around a vein. What subsequent actions of
the trained nurse?
A. to repeat an injection in the vein of the second hand the same syringe.
B. to impose a wadding marble, moistened 96% by alcoholic solution, by a flounce to
take out a needle.
C. * pulling up a piston, suck the entered liquid, not taking out a needle, in paravenosis
space to enter 20 ml 0,25 % solution of novocaine.
D. slightly pull up a needle, not drawing out from under a skin to repeat a venepuncture.
E. to rev up introduction.
195.
?You are a training nurse et cardiological department. A patient with myocardial
infarction were prescribed injections of heparin 2500 UN 4 times a day intradermally.
Which volume of heparin solution is it necessary to introduce in 1 injection (1 ml of heparin
contains 5000 UN)?
A. * 0,5 ml
B. 0,1ml
C. 0,2ml
D. 0,3ml
E. 1,0ml
196.
You are a training nurse et cardiological department. A patient with myocardial
infarction were prescribed injections of heparin 5000 UN 4 times a day intradermally/
Which volume of heparin solution is it necessary to introduce in 1 injection (1 ml of heparin
contains 5000 UN)?
A. * 0,5 ml
B. 0,1ml
C. 0,2ml
D. 0,3ml
E. 1,0ml
197.
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
198.
A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a steril capacity for 3 days
199.
At the nursing inspection of patient, the trained nurse selected a diagnosis
«flatulence». What interference must she put in the plan?
A. purgative enema
B. cleansing enema
C. sifon enema
D. nourishing enema
E. * gas-freeing tube
200.
Disease of pancreas is suspected n a patient. What from the following methods of
research will be most informing for diagnostics ?
A. * Research of diastase in urine;
B. Bacteriological examination of urine;
C. Nechiporenko’s test;
D. General urianalyses
E. Zimnitsky’s test.
201.
During duodenal probing a p[atient started to discharge darkly olive liquid. What
does it mean?
A. * Gallbladder bile
B. gastric juice
C. duodenal content
D. Bleeding from a gastroenteric highway
E. Bile from bile ducts
202.
It is necessary to take urine for laboratory analysis in a woman with acute
pyelonephritis. The patient has menstruation at the moment. What to do?
A. To collect urine in a usual way;
B. To instruct the patient to collect urine into the vial;
C. To instruct the patient to collect urine into the vial after cleansing of perineum;
D. To wait and take the urine when menstruation will finish;
E. * To take urine by a catheter.
203.
Research of feces for hidden blood was prescribed for a patient. Wich preparation of
a patient is necessary:
A. * Diet withourt hemoglobin
B. Normal diet
C. Diet N1-a
D. Diet N15
E. Diet N 5.
204.
The patient of 34 years old passes an ambulatory inspection in a policlinic. A nurse
teaches the patient of rules of fence of urine on a uranalysis. When must urine for uranalyses
be delivered in a laboratory after a fence?
A. * Not later than 1 hr
B. Not later than 6 hr
C. Not later than 10 hr
D. For a day long
E. Through 3 hr
205.
To the patient appointed duodenal probing. For stimulation of secretion a bile from a
gall-bladder the trained nurse uses:
A. * 33% magnesium sulfate solution
B. 0,9% solution of chloride of sodium
C. 5% solution of glucose
D. 7% decoction of cabbage
E. 0,025% solution of pentagastrinu
206.
To the patient I., 34, that is on treatment in a gastroenterologic department, duodenal
probing is appointed. Appearance of darkly olive liquid during the duodenal probing
corresponds to:
A. * Cystic bile
B. Hepatic bile
C. edema of pancreas
D. Gastric juice
E. contents of cystic duct
207.
To the patient M. is 45 years, which is in a gastroenterology separation concerning a
chronic cholecystitis, appointed v/v cholecystography. What must a medical sister do, to
prevent development of allergic reaction for a patient during the leadthrough of research?
A. * To conduct in the evening a test on verografin
B. To conduct in the evening a test on yodolipol
C. To conduct in the evening a test on yodognost
D. To conduct a morning a test on urografin
E. To conduct a morning a test on barium mixture
208.
To the patient of 42 appointed factious research of gastric juice. Weight of patient is
70 kg What amount of Histaminum of digidrokhloridu does need to be entered this patient
for stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
209.
To the patient of 42 appointed factious research of gastric juice. Weight of patient is
70 kg What amount of Histaminum of digidrokhloridu does need to be entered this patient
for stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
210.
To the patient of F., 35 years, which treats oneself in a gastroenterology separation, a
doctor appointed to collect an excrement on the eggs of intestinal worms. Explain to the
patient the technique of collection of excrement.
A. * To collect an excrement at once after emptying bowels in an amount a 30-50 gr. in
a warm kind from 3th different places
B. To collect the morning svizhovidileniy (in a warm kind) excrement in an amount a 510 gramme
C. To collect an excrement in a sterile test tube with konservantom
D. To collect an excrement in sterile double-dish
E. To collect an excrement after the special preparation (bezgemoglobinova diet)
211.
Vomit the masses of patient with ulcerous illness have an umber color. What actions
of the trained nurse will be correct in this case?
A. * To put an ice-bag on an epigastrium
B. To wash a stomach solution of manganese
C. To put a hot-water bottle on an epigastrium
D. To give to have a drink mint drops, to rinse a mouth
E. To quiet a patient, to do nothing
212.
Vomit the masses of patient with ulcerous illness have a color of coffee-grounds.
What actions of the trained nurse will be correct in this case?
A. * To put an ice-bag on an epigastrium
B. To wash a stomach solution of manganese
C. To put a hot-water bottle on an epigastrium
D. To give to have a drink mint drops, to rinse a mouth
E. To quiet a patient, to do nothing
213.
While assisting during the procedure of abdominal cavity puncture (paracentesisi)
the trained nurse si tightening the patient’s abdomen with a towel. What is the purpose of
this action?
A. * Maximal evacuation of ascitic liquid
B. Diminishing of pain
C. Decline of blood pressure
D. Prevention of bleeding from a wound
E. To support the patient in necessary position
214.
A doctor prescribed enema with 20% MgSO4 solution for a patient with atonic
constipation. How is this enema called?
A. * Hypertonic
B. Cleansing
C. Syphon
D. oil
E. Drop
215.
A nurse should collect urine for bacteriologic examination in a patient with
pyelonephritis. How to do it correctly?
A. * with sterile catheter
B. first portion of morning urine
C. 24hrs urine
D. Evening portion of urine
E. Urine collected at any time
216.
A patient 62 y.o developed ischemia in early post operative period. Cauterization of a
gallbladder is prescribed for him. What should a nurse apply to a catheter before inserting
the catheter into the bladder?
A. * steril glycerine
B. vasline oil
C. furacyline solution 1\ 500
D. 3% enlarged solution
E. 0.55 KMn04 solution.
217.
A patient is hospitalized to infection department. He is prescribed bacteriological
examination of sputum. Nurse should prepare?
A. * sterile Petri’s cup
B. sterile tube
C. dry clean tube
D. sterile tube with conservatory
E. a vial 30 ml capacity.
218.
A patient is prescribed x- ray examination of a stomach and intestines with
radiopaque preparation what should a nurse prepare?
A. bilifirost
B. bilitrast
C. iodolipol
D. verofrafin
E. * barium sulphatis suspension
219.
A patient is prescribed x- ray examination of kidney with radiopaque preparation
what should a nurse prepare?
A. bilifirost
B. bilitrast
C. iodolipol
D. * verofrafin
E. barium sulphatis suspension
220.
A patient M 18 y.o who suffers from tuberculotic meningitis, lumber puncture is
prescribed. which device is necessary to prepare?
A. a needle 7 cm long
B. cassirrky’s needle
C. Dufo’s needle
D. Bira’s needle
E. * troacar
221.
a patient with ascites is prescribed laparocentisis how to prepare the patient for the
procedure?
A. * to empty a bladder and bowels
B. to use a gas release tube
C. to execute stomach lavage
D. to prescribe a specific diet
E. to put an ice- bag on the abdomen.
222.
A patient with edema of lower limbs and ascites diuretics are prescribed. How to
control efficacy of treatment?
A. with urinalysis
B. with assessment of night diuresis
C. with Zimnitsky’s test
D. * with assessment of 24 hr diuresis
E. with water balance
223.
A patient with kidney disease is prescribed werehyporenko’s test. What is assessed
with this examination of urine?
A. * formed elements
B. glucose
C. amylase
D. specific gravity and diuresis
E. protein
224.
A patient with kidney disease is prescribed Zimnitsky’s test. What is assessed with
this examination of urine?
A. formed elements
B. glucose
C. amylase
D. * specific gravity and diuresis
E. protein
225.
A patient with kidney diseases discharges less than 50ml of urine per day. How is
this sign called?
A. * Disuria
B. Anuria
C. Pollakinuria
D. Polyuria
E. Dysuria
226.
A patient with kidney diseases discharges more than 2liters of urine per day. How is
this sign called?
A. Disuria
B. Anuria
C. Pollakinuria
D. * Polyuria
E. Dysuria
227.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to reveal Helicobacter Pylori infection?
A. Intragastral PH-metry
B. CBC
C. * Test for uropepsinogen
D. Stomach probing
E. Duodenal probing
228.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to reveal Helicobacter Pylori infection?
A. Intragastral PH-metry
B. CBC
C. * C-respiratory test
D. Stomach probing
E. Duodenal probing
229.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to assess acidity of stomach juice in different parts of the stomach?
A. * Intragastral PH-metry
B. CBC
C. C-respiratory test
D. Stomach probing
E. Duodenal probing
230.
a patient with pleurisy is undergone pleural puncture. Which complication may occur
during the procedure?
A. convulsion
B. dyspnea
C. * collapse
D. hypertension
E. coma
231.
A patient with renal edema is hospitalized in nephrological department. Zimnitsky’s
test is prescribed for him. Which preparation is to be performed?
A.
B.
C.
D.
E.
Limitation of salt intake in diet
Usage of diuretics
* Abstinence from diuretics
Limitation of sugar in diet
Diet without hemoglobin-containing products
232.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements excreted with urine in 1minute. Which test should be used for the purpose?
A. Weryporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. urine collected at any time
E. * evening portion of urine
233.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements excreted with urine per day. Which test should be used for the purpose?
A. Weryporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. * urine collected at any time
E. evening portion of urine
234.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements in 1ml of urine. Which test should be used for the purpose?
A. * Weyporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. urine collected at any time
E. evening portion of urine
235.
In which period of time should the patient collectn a portion of urine in each bottle?
A. each 2hrs
B. * each 3hrs
C. each 1hr
D. each 2,5hrs
E. each 6hrs
236.
Patient B is precribed urinalyses. How to collect urine correctly?
A. * medial portion of morning urine after hygienic toilet of perineum
B. first portion of morning urine
C. urine for 24hrs
D. urine collected at any time
E. evening portion of urine
237.
Patient D was prescribed test for assessment of kidney glomerular filtration. How is
this test called?
A. Weryporenko’s test
B. Zimnitsky’s test
C. * Reberg’s test
D. R
E. D
238.
Patient D., is hospitalized in endocrinological department of a hospital. It is
necessary to assess concentration of 17-ketoteroids in urine. How to collect urine correctly?
A. * 24 hrs portion of urine
B. First portion of morning urine
C. Medial portion of morning urine
D. Evening portion of urine
E. Urine collected at any time
239.
Patient D., who is on in-patient treatment in urologic department, Zimnitsy’s test is
prescribed. How many glass bottles should a nurse prepare for the test?
A.
B.
C.
D.
E.
12
10
6
4
*8
240.
Patient k, is hospitalized to infection department. He is prescribed bacteriologic
examination of blood smear. Nurse should prepare?
A. sterile Petri’s cup
B. * sterile tube
C. dry clean tube
D. sterile tube with conservatory
E. a vial 30 ml capacity
241.
what is necessary to prepare for taking smears for laboratory study?
A. a Petri dish
B. * 2 tubes: 1 for microscopic examination of pleural fluid and 2-sterile tube for its
bacteriological examination
C. a chemically poor tube for microscopic examination
D. sterile tube for bacterial examination
E. a vial 500 ml capacity
242.
A doctor appointed cholecystography for a patient . What iodinum preparation which
is used per os for this purpose?
A. * Cholevid
B. Verografin
C. Urografin
D. Barium mixture;
E. Tanin
243.
A doctor prescribed hypertonic enema for the patient 54 years old with the atony of
intestine . What liquid must a nurse use for implementation of procedure?
A. * 10% saline solution
B. 4% solution of hydrochloric acid
C. 4% sodium hydrocarbonatis
D. 20% solution of glucose
E. 7% solution to potassium chloride.
244.
A nurse conducts the duodenal probing. What irritant needs to be entered to the
patient to obtain the second portion of bile :
A. 40% solution of glucose
B. 0,1% solution of Histamin
C. * 30% magnesium sulfatis solution
D. 0,025% pentagastrin solution
E. 5% ethyl spirit
245.
A patient 65 years is in a surgical department, an operation is conducted him
concerning cholelithiasis. In postoperative period, on the purpose of attanding doctor, the
trained nurse did him hypertonic. Emptying of intestine must pass:
A. * In 20 minutes
B. In 1 hour
C. In 10 hours
D. In 8 hours
E. In 5 minutes
246.
A patient has gingival bleeding. Research of excrement was appointed him to the
hidden blood. At preparation to research a patient must:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium hydrocarbonatis
D. Not to rinse a mouth with decoction of camomile
E. There is not a right answer
247.
A patient of 22 years is in oncologic department concerning to the disease of
stomach. A doctor prescribed him analysis of feces on the hidden blood. In the period of
preparation to this research the patient must:
A. * observe a diet without haemoglobin for 3 days
B. do a cleansing enema in the evening
C. take iodinum preparation 12 hours before research
D. take preparations of iron
E. observe the diet without cereals for 3 days
248.
A patient of 41 years old is in a gastroenterology department with suspicion on
stomach ulcer. Gastroduodenoscopy is appointed to him. At preparation to this research the
patient must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
249.
A patient with peptic ulcer suddenly developed pain in epigastrium. What must be
tactic of a nurse in this situation?
A. * Quickly to call on a doctor
B. To put an ice-bag
C. To enter 2 ml of a 50% solution of analgin
D. To conduct washing of stomach
E. To give to have a drink a 0,5% solution of novocaine
250.
A patient with ulcerative colitis suffers from constipation. Specify an enema which
must be conducted to the patient
A. * Oily
B. Siphon
C. Hypertensive
D. Cleansing
E. Medicamentous
251.
A patient with cardiac insufficiency and edema are on lower extremities has
constipation within the last 3 days. What enema is better to prescribe to the patient?
A. * Hypertonic with 100 ml of 10\% saline solution
B. Cleansing with 1,5 l of water
C. Oily with 100 ml of castor oil
D. Siphon with 10 l of water
E. Mikroenema with 50 ml of olive oil
252.
Disease of pancreas is suspected in a patient. What from the following methods of
research will be most informing for diagnostics ?
A. * serum amylase
B. serum iron
C. serum creatitine
D. serum bilirubin
E. serum protein
253.
Do the calculation of a 0,1% solution of Histaminum sulfate for stomach probing
with submaximal stimulation in the patient with body mass 60 kg:
A. * 0,48 ml;
B. 1 ml;
C. 0,6 ml;
D. 0,5 ml;
E. 0,1 ml.
254.
During duodenal probing darkly olive liquid was obtained and now the patient
started to discharge more light yellow bile. What does it mean?
A.
B.
C.
D.
E.
gallbladder bile
gastric juice
duodenal content
* bile from bile ducts
bleeding from intestine
255.
During laboratory study of feces on the hidden blood in 2 minutes there was dark
blue colouring of Bensidine reactive. The reaction is considered to be:
A. * Positive.
B. Doubtful.
C. Stable.
D. no correct answer
E. Negative.
256.
During inspection of patient I., 65 years old it was found out a problem - absence of
act of defecation during 3 days. What nursing interference will be executed?
A. * cleansing enema
B. medical enema
C. siphon enema
D. purgitative enema
E. enema with starch
257.
During the leadthrough of gastric probing blood appeared together with stomach
juice. TWat the trained nurse must do ?
A. * to stop immediately the gastric probing
B. to suggest deeply to breathe through a nose
C. to suggest to do swallowing motions
D. to offer lips to clutch a probe
E. to continue the procedure
258.
During the leadthrough of the duodenal probing blood appeared together with
stomach juice. What the trained nurse must do?
A. * to stop the procedure immediately
B. to suggest deeply to breathe through a nose
C. to suggest to do swallowing motions
D. to offer lips to clutch a probe
E. to continue the procedure
259.
For a patient intestinal impassability is diagnosed. What enema does it follow to
appoint a patient before operation?
A. hypertensive
B. cleansing
C. * siphon;
D. oily;
E. drop enema.
260.
For a patient which is on treatment in a gastroenterology depatment, vomiting
appeared. What from the transferred facilities can utillize the trained nurse for stopping of
vomiting?
A. 2% sodium hydrokarbonate solution
B. * some mint drops
C. solution to potassium permanganate
D. warm water
E. 2% novocaine solution
261.
In a gynaecological department in a patient D., 45 years old, abdominal flatulence
developed after operation. A gas-freeing tube was appointed. On what depth in an intestine
must the trained nurse enter a gas-freeing tube?
A. * 20-30 cm
B. 8-10 cm
C. 10-15cm
D. 15-20cm
E. 30-40cm
262.
Patient A., 18 years old, was quickly delivered into admissious department of
infectious hospital by an ambulance. Diagnosis is "poisoning medicinal preparations
(ranquilizers)". Infirst aid washing of stomach was started. What temperature must water be
for this manipulation?
A. * 18 -20
B. 10 -12
C. 25 -30
D. 30 -35
E. 35 -40
263.
On purpose of a doctor a cleansing enema is appointed a patient. What amount of
water must be used for the procedure?
A. * 1,5 liter
B. 1 liter
C. 2 liters
D. 400 ml
E. 500 ml
264.
The man of 43 entered induction centre with the signs of the food poisoning. For
washing of stomach a medical sister prepared: 2 sterile stomach probes, glass watering-can,
towel, serviettes, gloves, 2 aprons, vaseline. What must a medical sister add for the
leadthrough of procedure?
A. * Sterile test tubes
B. Janet's syringe
C. Vacuum setting
D. Stand
E. phonendoskop
265.
The nurse of gastroenterologic department conducts the duodental' probing.What
irritant and before taking of what portion of bile is it necessary to enter?
A. * 33% manganese sulfate solution, before potrion B
B. 40% glucose solution, before portion C
C. Olive oil, before portion A
D. 7% cabbage decoction, before portion B
E. No correct answer
266.
The patient O. 28 years old, entered gastroenterologic department with complaints on
general weakness, indisposition, shortness of breath at the physical loading, pains in the area
of heart. During three years he is ill with peptic ulcer of stomach. Aamount of red blood
cells and haemoglobin in CBC are decreased. What research of excrement must be
appointed toa patient?
A. * An analysis of excrement for the hidden blood
B. Coprologic research
C. An analysis of excrement on the eggs of helmints
D. Bacteriologic examination of excrement
E. An analysis of excrement on an intestinal group of bacteria
267.
To patient D., 50 years old, by the district doctor of policlinic prescribed medical
microclyster for treatment of inflammatory process of rectum 50 ml of warm oil). That the
trained nurse must do after 30-40 min of this manipulation?
A. * Cleansing enema
B. Hypertensive enema
C. Drop enema
D. Siphon enema
E. Gas-freeing tube
268.
To the patient 55 years old a doctor appointed a cholecystography. What the sotr
of research is it?
A.
B.
C.
D.
E.
* Roentgenologic research of gall-bladder
Endoskopic research of colon
Roentgenologic examination of stomach, duodenum
Rentgelogic research of kidneys
Endoskopic research of trachea and bronchial tubes
269.
To the patient after an operation on esophagus nasogastric probe is inserted for a
feeding. What volume of meal from day's norm would a nurse enter in the first day?
A. * 50%
B. 30%
C. 70%
D. 80%
E. 100%
270.
To the patient appointed duodenal probing. FHow many portions does the sample
cointain of in fractional duodenal probing?
A. 1
B. 2
C. 3
D. 4
E. * 5
271.
To the patient appointed duodenal probing. FHow many portions does the sample
cointain of in simple duodenal probing?
A. 1
B. 2
C. * 3
D. 4
E. 5
272.
To the patient 40 years old with the purpose of preparation to the irrigoscopy it is
necessary to carry out cleaning of intestine by cleansing enemas. For cleansing enema it is
necessary to use boiled water in following volume:
A. * 1-1,5 l
B. 500 ml
C. 700 ml
D. 800 ml
E. 2000 ml
273.
To the patient K. 32 years old, which is in a gastroenterologic department, a doctor
appointed gastroscopy. What must the trained nurse do for preparation of patient to this
research?
A. * To warn a patient that research is conducted on an empty stomach and the last
reception of meal must be not later than 18.00
B. To put an enema in the evening and by a morning before research
C. To give to have a drink castoir oil before the research
D. To conduct psychological preparation of patient, explaining a purpose and motion of
leadthrough of research
E. To appoint a diet without fibers for 2-3 days, siphon enema 2 hours prior to an
inspection
274.
To the patient K., 46 years old, which is in gastroenterologic department with
suspicion on tumor of the stomach , endoscopic examination was prescribed. What medical
inspection will the trained nurse prepare the patient for?
A. colonoscopy
B. irrigoscopy
C. cystoscopy
D. * gastroscopy
E. duodenoscopy
275.
To the patient K., 46 years old, which is in gastroenterologic department with
suspicion on intestinal tumor, X-rayexaminatiuon of a large intestine mucosa was
prescribed. What medical inspection will the trained nurse prepare the patient for?
A. colonoscopy
B. * irrigoscopy
C. gastrosopy
D. cystoscopy
E. duodenoscopy
276.
To the patient K., 46 years old, which is ingastroenterologic department with
suspicion on intestinal tumor, endoscopic examinatiuon of a large intestine mucosa was
prescribed. What medical inspection will the trained nurse prepare the patient for?
A. * Colonoscopy
B. Irrigoscopy
C. Cystoscopy
D. Gastroscopy
E. Duodenoskopy
277.
A student is examining patient’s pulse. What parameter should he start from to assess
pulse properties?
A. rhythm;
B. filling;
C. frequency;
D. tension;
E. *similarity on two radial arteries.
278.
By palpation patient’s pulse is dull. In what disease dull pulse is observed?
A. myocarditis;
B. pericarditis;
C. mitral defects;
D. * hypertension;
E. heart insufficiency.
279.
By palpation patient’s pulse is low and slow. “Pulsus parvus and tardus” is observed
in:
A. mirtal incompletence;
B. mitral stenosis;
C. aortal incompletence;
D. * stenosis of ostium of aorta;
E. hypertension.
280.
During examination of patient’s pulse a student revealed tachycardia. Tachycarida is
observed in the case of:
A. narrowing of aortic aperture;
B. hunger;
C. cardiac block;
D. * fever;
E. jaundice.
281.
During examination of patient’s pulse a student revealed bradycardia. Rare pulse is
observed in the case of:
A. increased body temperature;
B. heart insufficiency;
C. * complete atrioventricular block;
D. myocarditis;
E. thyrotoxicosis.
282.
Patient K. have developed pain in the abdominal region. What should be the actions
of the nurse on duty when he asks a hot-water bottle to release pain?
A. To allow usage of a hot-water bottle;
B. A hot-water bottle is not allowed at all;
C. *A hot-water bottle is not allowed while the patient will be inspected by a doctor;
D. Instead of a hot-water bottle a nurse can take spasmolitics for the patient;
E. Instead of a hot-water bottle a nurse can take analgin for the patient.
283.
Patient L. is treated at home. A doctor have prescribed leeches to him. Give the
patient instructions how to keep leeches at home, please.
A. In the open bottle in poor water;
B. *In the vial with poor water clvered with a gause;
C. In the bottle with poor water closed by a rubber tube ;
D. In the refrigerator;
E. In the bottle with .salt water
284.
A doctor prescribed application of mustard plasters on patient’s chest. What is
duration of the procedure?
A. 5-9 min.
B. * 0-15 min.
C. 16-20 min.
D. 1 hr
E. 21-30 min
285.
A doctor made a consideration that it is necessary to prescribe an application of cold
for the patient. Characterise an influence of cold on organism:
A. resorption of infiltration
B. antiinflammatory action
C. increase of blood inflow
D. antypiretic action
E. * decrease of bleeding
286.
A doctor made a conclusion that the patient developed hyperetonic crisis and it is
necessary to prescribe mustard plasters for him. What is a place of their application in this
case:
A. * on the back of the head
B. upper part of the sternum
C. between scapulas
D. below scapulas
E. lumbar region
287.
A doctor made a consideration that it is necessary to prescribe hirudotherapy for the
patient. A nurse is explainig to the patient the technique of the procedure. One leech can
suck the following amount of the blood:
A. 5 ml
B. * + 10 ml
C. 20 ml
D. 15 ml
E. 25 ml
288.
A doctor made a conclusion that application of mustard plasters is contraindicated
for the patient. Select, which influence in the organism is not typical for mustard plasters:
A. antiallergic action
B. resorptive action
C. warming action
D. analgetic action
E. * antiviral action
289.
A doctor made a conclusion about absence of contraindications for warming
compress. Select the disease which is indication for application of mustard plaster:
A. scabies
B. allergic dermatitis
C. furunculosis
D. hectic fever
E. * acute inflammation of the pharynx
290.
A nurse is going to perform application of mustard plasters for a patient. Which
temperature of water is needed?
A. 0-9 °C
B. 10-19 °C
C. 20-39 °C
D. + 40-45 °C
E. * 46-65 °D
291.
A nurse of therapeutic department had applied warming compress on patient’s neck.
What is duration of the procedure if the compress is wetted in 50% alcohol solution?
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. * + 4-6 hours
E. 6-8 hours
292.
A nurse of therapeutic department had applied warming compress on patient’s neck.
What is duration of the procedure if the compress is wetted in water?
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. * 4-6 hours
E. 6-8 hours
293.
A young patient is undergone application of warming compress on the left shoulder.
A nurse should explain for the patient that the compress will be removed in:
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. 4-6 hours
E. * 6-8 hours
294.
A young patient is undergone application of warming compress on the left shoulder.
How many slices warming compress consists of?
A. 1
B. 2
C. 3
D. * 4
E. 5
295.
A doctor prescribed for a patient application of mustard plasters. During the
procedure the patient complains of itch and burning sensations in places of application.
What should be duration of the procedure in this case?
A. * to stop immediatelly
B. 10-15 min.
C. 16-20 min.
D. 21-30 min.
E. 1 hr
296.
A patient suffers from high body temperature, severe headache heat and excitation.
Which simplest physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * cold compress
E. warming compress
297.
A patient suffers from high body temperature, severe headache heat and excitation.
Which symptomps physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * an ice-bag
E. warming compress
298.
A patient with acute bronchitis complains of fever 37,2°C, dry cough. Which among
the following measures are necessary to perform?
A. antipiretics per os
B. hot-water bottle
C. oxygenotherapy
D. * inhalation with soda
E. cold compress
299.
A patient 62 years old is in cardiological department because of cardiac asthma,
which shifts to lung edema. How to take moist oxygen for him?
A. * with alcohol
B. with furacilin
C. with water
D. with manganese solution
E. with sodium hydrocarbonate
300.
A patient with rheumatoid arthritis is prescribed warming compress application.
What is the sequence of application?
A. a gauge wetted in water-alcohol solution /90:10/, wax paper, cotton, bandage
B. a gauge wetted in water-alcohol solution /50:50/, wax paper
C. * a gauge wetted in water-alcohol solution /50:50/or water, wax paper, cotton,
bandage
D. wax paper, a gauge wetted in water-alcohol solution /90:10/, cotton, bandage
E. wax paper, a gauge wetted in water, bandage
301.
A patient with arterial hypertension was prescribed hirudotherapy. In 3 days after
the procedure he complains of pain and swelling in places of application, enlargement of
lymph nodes, fever 39°C. Which complication developed?
A. * infectious contamination of wounds
B. bleeding from wounds
C. myositis
D. hematoma
E. allergic reaction
302.
Patient M., 48years old, developed rising of blood pressure /hypertonic crisis/.
Which part of patient’s body is it possible to apply mustard plasters in this case?
A. along spinal cord
B. on the sternum
C. heart region
D. lumbar region
E. * it is not useful to apply mustard plasters in this case
303.
After examination of a patient a doctor made a consideration that application of
leeches in this case is contraindicated. Select contraindication for hirudotherapy:
A. Angina pectoris
B. Myocardial infarction
C. Brain stroke ischaemia
D. Hepatomegaly of the heart failure and ascites
E. * Hepatomegaly in liver cirrhosis and ascites
304.
A doctor after examination of a patient made a consideration that application of
mustard plasters should be changed on ice-bag. An ice-bag is used for:
A. resorption of infiltration
B. * in bleeding
C. in I period of fever
D. in chronic cholecistiasis
E. in III period of fever
305.
A doctor made a consideration that application of cups is contraindicated for the
patient. In which disease cups are not indicated:
A. * lung tuberculosis
B. pneumonia
C. intercostal neuralgy
D. radiculitis
E. myositis
306.
A reason for application of mustard plasters is:
A. hypertonic crisis
B. pneumonia
C. bronchitis
D. * lung bleeding
E. angina pectoris attack
307.
A doctor made a consideration that it is necessary to prescribe application of
mustard plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. pneumonia
C. tuberculosis
D. * acute bronchitis
E. malignant tumor
308.
A doctor made a consideration that it is necessary to prescribe application of
mustard plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. acute bronchitis
C. tuberculosis
D. * exacerbation of chronic bronchitis
E. malignant tumor
309.
A patient tells a nurse that she is considering using herbal supplements in addition to
her prescription medications. What would be the nurse’s best response?
A. “Herbs are not classified as drugs in the United States, so there is no contraindication
to using them.”
B. * “Herbs have pharmacologic effects on the body and can interact with some
prescription medications.”
C. “It is never permissible to use herbal supplements with prescription medications.”
D. “I will refer you to an herbalist who can help you decide which medications you can
take.”
E. No correct answer
310.
A patient with an aortic valve replacement is taking a daily dose of warfarin to
prevent clot formation. The patient states that he is also taking ginkgo biloba to improve his
memory and concentration. What would be the nurse’s best response?
A. Inform the patient that memory problems following valve replacement surgery are
common, but temporary.
B. * Instruct the patient that ginkgo biloba interacts with anticoagulant drugs and then
check for bruising or bleeding.
C. Inform the patient that this drug combination is most effective if the ginkgo biloba is
taken twice daily.
D. Instruct the patient to keep a record of episodes of forgetfulness or memory
disturbances to monitor effectiveness.
E. No correct answer
311.
A doctor appointed the patient of 54 years old with the atony of intestine
hypertensive enema. What liquid must a medical sister utillize for implementation of
procedure?
A. * 10% soluble-sodium chloride
B. 4% solution of khloristovodnevoy acid
C. 4% soluble-sodium gidrokarbonatu
D. 20% solution of glucose
E. 7% solution to potassium of chloride.
312.
A doctor prescribed for a patient injection of 10 ml 10% CaCl2 solution. Which type
of injection should a nurse perform?
A. * intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
313.
A doctor prescribed for a patient injection of 4% KCL solution.Which type of
injection should a nurse perform?
A. intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. * i/v slow drop infusion
314.
A doctor prescribed for a patient injection of vitamin E. Which type of injection
should a nurse perform?
A. intravenous
B. * subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
315.
A doctor prescribed for a patient with heart failure injections of strophanthin 0.05%
0.5 ml i/v diluted in 0.9 % saline solution. Choose the syringe of proper capacity:
A. * 20ml
B. 5ml
C. 2ml
D. 1ml
E. insulin syringe
316.
A medical sister conducts the duodenal probing. What irritant needs to be entered a
patient, that the second portion of bile appeared
A. 40% solution of glucose
B. 0,1% solution of Histaminum
C. * 30% solution of sul'fata magniya
D. 0,025% solution of pentagastrinu
E. 5% ethyl spirit
317.
A nurse is assisting a patient preparing for surgery by using progressive muscle
relaxation. What rationale best supports the use of this complementary therapy at this time?
A. This therapy rebalances or repatterns a person’s energy field.
B. This therapy improves flexibility and assists with positioning during surgery.
C. This therapy is based on the theory that applying pressure releases congestion and
promotes energy flow.
D. * This therapy provides the intentional tensing and releasing of successive muscle
groups, thereby promoting relaxation and decreasing anxiety.
E. No correct answer
318.
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
319.
A patient has gingival bleeding. Research of excrement was appointed him to the
hidden blood. At preparation to research a patient must\:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium nhydrocarbonatis
D. Not to rinse a mouth decoction of camomile
E. There is not a right answer
320.
A patient of 41 is in a gastroenterology department with suspicion on stomach ulcer.
Gastroduodenoscopy is appointed to him. At preparation to this research the patient must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
321.
A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected\:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a sterile capacity for 3 days
322.
A patient on ulcerous illness of stomach suddenly had pain in an epigastrium. What
must tactic of a nurse be in this situation?
A. * Quickly to call on a doctor
B. To put an ice-bag
C. To enter 2 ml of a 50% solution of analgin
D. To conduct washing of stomach
E. To give to have a drink a 0,5% solution of novocaine
323.
A patient was injected medical preparation in the morning. In the evening of the
same day he reported a nurse about pain in the place of injection, swelling of this area. How
to solve the patient’s problem?
A. * to apply a hot-water bottle
B. to use electrical procedures
C. to apply warming compress with 50% alcohol
D. to apply cold water compress with 50% alcohol
E. to apply an ice bag
324.
A patient with infectious disease developed body temperature 40*C, delirium and
hallucinations. Which method should be used in care program?
A. * application of an ice bag to patient’s head
B. application of mustard plasters on the back of the head
C. application of hot water bottle
D. application of warming compress
E. cups along spinal cord.
325.
After i/m injection of 5ml 25 % MgS04 solution into buttock region the patient feels
numbness on the posterior and external surface of the tight, shin and the foot on the side of
injection. What is the cause of these sensations?
A. * a nurse selected place for injection not correctly
B. radiculitis
C. ostheoporosis
D. increased individual sensitivity to drug
E. pyrogenic reaction
326.
At the nursing inspection of a patient, the trained nurse selected a diagnosis
«flatulence». What interference must she put in the plan?
A. purgative enema
B. cleansing enema
C. siphon enema
D. nourishing enema
E. * gas-freeing tube
327.
Disease of pancreas is suspected n a patient. What from the following methods of
research will be most informing for diagnostics ?
A. *Research of amylase in urine;
B. Bacteriological examination of urine;
C. Nechiporenko’s test;
D. General urianalyses
E. Zimnitsky’s test.
328.
During administration of antibiotic a patient developed dizziness, general weakness,
palpation and he lost consciousness soon. What should be first action of a nurse?
A. * to stop administration of antibiotic
B. to take to inhale ammonial spirit for the patient
C. to put the patient in the position with rised legs and lowered head
D. to apply a hot-water bottle
E. to take oxygen
329.
During I/V drop infusion of preparation the patient developed headache, chills, fever.
If to be asked, the patient reported that he kept this preparation on sunlight for 2days. What
happened to the patient?
A. * pyrogenic reaction
B. air embolism
C. necrosis
D. abscess
E. infiltration
330.
During the assessment of the patient you discover the symptoms of gastric bleeding.
The best action would be to use of
A. hot water bottle on the epigastric area
B. an ice-bag on umbilical area
C. hot water bottle on the chest
D. cold bag on the chest
E. * an ice-bag bag on the epigastric area
331.
Ear drops are ordered for a patient. Which assessment finding would cause the nurse
to question the order?
A. The patient states she is hard of hearing.
B. * The patient's tympanic membrane is perforateD.
C. The patient has wax in her ear.
D. The patient states she has an earache.
E. No correct answer
332.
Fifty percent of the drug's original dose is in the blood 4 hours after administration.
What is the half-life of the drug?
A. 1 hour
B. 4 hours
C. * 2 hours
D. 8 hours
E. No correct answer
333.
In examining a peripheral IV site, the nurse observes a red streak along the length of
the vein and the vein feels hard and cordlike. What is the correct interpretation of these
findings?
A. An allergic reaction in response to the tape, cleansing agent, or solution
B.
C.
D.
E.
Infiltration of drug solution into the extravascular tissues
Local infection from bacterial contamination
* Phlebitis of the vein in use for IV therapy
No correct answer
334.
Patient of 65 year old is prescribed heparin.Which anatomical area on the patient’s
body should a nurse select for injection?
A. Upper-external quadrant of buttock region
B. lower-external quadrant of buttock region
C. internal surface of shoulder
D. internal surface of tight.
E. * lateral surface of abdominal wall
335.
patient suffers proof constipation because of ulcerative colitis. Specify an enema
which must be conducted a patient
A. * Oily
B. Siphon
C. Hypertensive
D. Cleansing
E. Medicamentous
336.
The patient asks the nurse to leave his sleeping pill at the bedside because he wants
to read for a few more minutes before going to sleep. The most appropriate action for the
nurse to take is to
A. leave the pill as requested
B. * ask the patient to call the nurse when he is ready for his medication
C. tell the patient he can take it now or not at all since this is when it is ordered
D. leave the pill as requested and check back in half an hour to be sure the patient took
the medication
E. No correct answer
337.
The patient has a medication prescribeD. When assessing the patient, the nurse
discovers the patient does not understand why the drug is being administered or exactly
when it should be taken. The most appropriate nursing diagnosis is
A. Altered Health Maintenance
B. Altered Nutrition
C. * Knowledge Deficit
D. Ineffective Management of Therapeutic Regimen
E. No correct answer
338.
The patient is receiving fluid therapy by the intraosseous route. On taking the
morning vital signs, the nurse finds the patient to have tachypnea, tachycardia, fever, and
petechiae. What complication is likely?
A. Compartment syndrome
B. Needle obstruction
C. Osteomyelitis
D. * Embolus
E. No correct answer
339.
The patient who has just had an IV started in the right cephalic vein tells the nurse
that the wrist and hand below the IV site feel like there are “pins and needles” in them. What
is the nurse’s best action?
A. Document the response as the only action.
B. * Discontinue the IV and restart it at another site.
C. Check for the presence of a strong blood return.
D. Elevate the extremity so that it is above the level of the heart.
E. No correct answer
340.
The patient with cancer is about to have an implanted port placed for chemotherapy.
She cries and tells the nurse that she is worried that she will not be able to swim or shower
with this device, and that its presence will remind her daily that she has cancer. What is the
nurse’s best response?
A. * “The device is totally under the skin, so you can swim, shower, and bathe when the
incision is healed.”
B. “Having this device in place will prevent a lot of pain and save your veins in case
you need more therapy later.”
C. “Try not to worry. This device is temporary and will be removed as soon as your
regimen of chemotherapy is over.”
D. “If you carefully tape plastic wrap over the tubes and caps, you can still shower,
although taking a tub bath and swimming are not permitted.”
E. No correct answer
341.
The duration of application of a warm compress is:
A. 30-40 minutes
B. 40-60 minutes
C. *8-10 hours
D. 4-6 hours
E. 1-2 hours
342.
The physician has written an order for a drug for a patient. The nurse believes the
drug dosage to be in error. What is the nurse's responsibility?
A. Make a notation on the patient's medication administration recorD.
B. Ask another nurse if the order is correct.
C. * Withhold the drug and ask the physician.
D. Administer the drug and question the physician later.
E. No correct answer
343.
The physician writes an order for medication to be given every 4 hours
subcuteneosly in abdominal region. How should the nurse administer this drug?
A. every 4 hours around the clock
B. * every 4 hours if the patient's condition indicates a need for it
C. as many as four times a day
D. every 4 hours if the patient asks for it
E. No correct answer
344.
Which order of Ukraine Ministery of Helth Protection is devoted to prophylaxis of
viral hepatitis in medical establishments:
A. N 408
B. N 720
C. N 450
D. * N 120
E. N 350
345.
A nurse and a doctor discuss health condition of a patient near his bed. What may
develop in the patient as a result of this discussion?
A. Ignoration of the disease
B. * Iatrogenia
C. Unadequate behavior
D. Egogenia
E. Egrotogenia
346.
A nurse assistant during tiding of a toilet in a hospital department didn’t use
disinfectant solution for tiding and washed the floor with poor water. Which regimen has
she violated?
A. Treatment-protection
B. * Sanitary-hygienic
C. Hospital regimen
D. Treatment-protection and hospital regimens
E. No any of them
347.
A nurse assistant has tided a toilet in a hospital department. How to provide
disinfection of a bucket, arag used for the purpose?
A. Immnersion in 1 % chloramine solution for 30 min
B. Immnersion in 0,5 % chloramine solution for 30 min
C. Immnersion in 3 % chloramine solution for 30 min
D. * Immnersion in 1 % chloramine solution for 30 min, rinse them and dry on the air
E. Boiling in 2 soda for 30 min
348.
A nurse is going to immerse medical instruments into 4 % peroxigen for sterilization.
What is duration of immersion?
A. 60 min
B. 30 min
C. 15 min
D. 240 min
E. * 90 min
349.
A nurse is going to immerse medical instruments into 6 % peroxigen for sterilization.
What is duration of immersion?
A. * 60 min
B. 30 min
C. 15 min
D. 240 min
E. 90 min
350.
A nurse is going to immerse medical instruments into 70 % alcohol solution for
sterilization. What is duration of immersion?
A. 60 min
B. * 30 min
C. 15 min
D. 240 min
E. 90 min
351.
A nurse of tuberculosis profile in-hospital department is going to immerse medical
instruments into 5 % chloramine B solution for sterilization. What is duration of immersion?
A. 60 min
B. 30 min
C. 15 min
D. * 240 min
E. 90 min
352.
A nurse provides care of patient who is not able to turn in the bed independently or to
rise his head, arms or legs. How is this position of the patient called?
A. * Passive
B. Active
C. Forced
D. Forced passive
E. Forced active
353.
A nurse reported about results of examination for the patient, analyzed them and
made the diagnosis. What may develop in the patient as a result of this action?
A. Ignoration of the disease
B. * Iatrogenia
C. Unadequate behavior
D. Egogenia
E. Egrotogenia
354.
A nursing student states, "That exam was stupid. No one could pass such a silly
exam." Which defense mechanism is the nursing student using?
A. denial
B. * repression
C. rationalization
D. undoing
E. No correct answer
355.
A patient has the right for qualified treatment and care, respect of his dignity and
absence of discrimination. Select actions of a nurse for support of this right:
A. * All mentioned
B. To call a patient with a full name
C. To explain what is nursing care and how are you going to provide it
D. To obtain patient’s permission for examination
E. To encourage a patient for self-care
356.
A patient was diacharged from a hospital. What to do with such sings which the
patient used in the hospital as a pillow and a mattress?
A. To pass to another patient
B. To dry on sunshine
C. To knock and dry on sunshine
D. To clean in a washing-machine
E. * To take for disinfection in disinfection chamber
357.
A patient who is treated in in-patient department left the department and hospital
teritoria. How to comment actions of the patient?
A. * Violation of internal regulation of the hospital
B. Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
358.
A patient who is treated in in-patient department was visited by 5 friends who
brought for him alcohol. How to comment actions of visitors?
A. Violation of internal regulation of the hospital
B. * Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
359.
According to prescription of a doctor a trained nurse has executed intramuscular
injection of 500 000 UN of benzylpenicilin. Which type of nurse intervention is this?
A. * Dependent
B. Independent
C. Interdependent
D. Compensated
E. Complex
360.
Below are presented methods of medical equipment disinfection used in
therapeutical department. What one among them is not used for chemical disinfection?
A. * Pasterization
B. Irrigation
C. Wiping out
D. Complete immersion
E. Dispersion
361.
Below are presented methods of medical equipment disinfection used in
therapeutical department. What one among them is not used for mechanical disinfection?
A. * Ironing
B. Damp tiding of rooms
C. Usage of vacuum cleaner
D. Knocking
E. Washing hands
362.
Below are presented methods of medical equipment disinfection used in
therapeutical department. What one among them is not used for physical disinfection?
A. * Washing hands
B.
C.
D.
E.
Sun irradiation
Ultraviolet irradiation
Boiling
Disinfection in a hot air box
363.
Boiling for disinfection of glass, metalic, rubber equipment as well as one made of
heat-resistant materials in 2 % sodium hydrocarbonate solution is performed during:
A. * 15 min
B. 1 hour
C. 45 min
D. 2 hours
E. 5 min
364.
Discussion was provided in nurse staff about conflict patient. It was established that
he has hypochondria. What does it mean?
A. The patient tend to get outcome from the disease
B. Ignoration of the disease
C. Underestimation of the disease
D. * Groundless fear of a disease
E. All mentioned
365.
The nurse feels overwhelmed with her assignment for the day. Which strategy would
likely be most helpful to this nurse at this time?
A. progressive muscle relaxation
B. guided imagery
C. removing self from stressors with a negative impact
D. * break the work into small parts
E. No correct answer
366.
What should be actions of a nurse if patient’s blood or other secretions were
sprinkled into nurse’s eyes?
A. To wash eyes with 3 % peroxygen solution, to drop 1 % boric acid
B. To wash eyes with 6 % peroxygen solution, to drop protargol solution
C. * To wash eyes with water, to drop 30 % albucid
D. To wash eyes with water, to drop 70 % alcohol solution
E. To wash eyes with 0,05 % potassium manganese solution,
367.
At the nursing inspection of patient, the trained nurse selected a diagnosis
«flatulence». What interference must she put in the plan?
A. purgative enema
B. cleansing enema
C. sifon enema
D. nourishing enema
E. * gas-freeing tube
368.
Disease of pancreas is suspected n a patient. What from the following methods of
research will be most informing for diagnostics ?
A. * Research of diastase in urine;
B. Bacteriological examination of urine;
C. Nechiporenko’s test;
D. General urianalyses
E. Zimnitsky’s test.
369.
During duodenal probing a p[atient started to discharge darkly olive liquid. What
does it mean?
A. * Gallbladder bile
B. gastric juice
C. duodenal content
D. Bleeding from a gastroenteric highway
E. Bile from bile ducts
370.
To the patient appointed duodenal probing. For stimulation of secretion a bile from a
gall-bladder the trained nurse uses:
A. * 33% magnesium sulfate solution
B. 0,9% solution of chloride of sodium
C. 5% solution of glucose
D. 7% decoction of cabbage
E. 0,025% solution of pentagastrin
371.
Vomit the masses of patient with ulcerous illness have an umber color. What actions
of the trained nurse will be correct in this case?
A. * To put an ice-bag on an epigastrium
B. To wash a stomach solution of manganese
C. To put a hot-water bottle on an epigastrium
D. To give to have a drink mint drops, to rinse a mouth
E. To quiet a patient, to do nothing
372.
Vomit the masses of patient with ulcerous illness have a color of coffee-grounds.
What actions of the trained nurse will be correct in this case?
A. * To put an ice-bag on an epigastrium
B. To wash a stomach solution of manganese
C. To put a hot-water bottle on an epigastrium
D. To give to have a drink mint drops, to rinse a mouth
E. To quiet a patient, to do nothing
373.
A doctor prescribed enema with 20% MgSO4 solution for a patient with atonic
constipation. How is this enema called?
A. * Hypertonic
B. Cleansing
C. Syphon
D. oil
E. Drop
374.
A nurse should collect urine for bacteriologic examination in a patient with
pyelonephritis. How to do it correctly?
A. * with sterile catheter
B. first portion of morning urine
C. 24hrs urine
D. Evening portion of urine
E. Urine collected at any time
375.
A patient is hospitalized to infection department. He is prescribed bacteriological
examination of sputum. Nurse should prepare?
A. * sterile Petri’s cup
B. sterile tube
C. dry clean tube
D. sterile tube with conservatory
E. a vial 30 ml capacity.
376.
A patient is prescribed x- ray examination of a stomach and intestines with
radiopaque preparation what should a nurse prepare?
A. bilifirost
B. bilitrast
C. iodolipol
D. verofrafin
E. * barium sulphatis suspension
377.
A patient is prescribed x- ray examination of kidney with radiopaque preparation
what should a nurse prepare?
A. bilifirost
B. bilitrast
C. iodolipol
D. * verofrafin
E. barium sulphatis suspension
378.
A patient M 18 y.o who suffers from tuberculotic meningitis, lumber puncture is
prescribed. which device is necessary to prepare?
A. a needle 7 cm long
B. cassirrky’s needle
C. Dufo’s needle
D. Bira’s needle
E. * troacar
379.
a patient with ascites is prescribed laparocentisis how to prepare the patient for the
procedure?
A. * to empty a bladder and bowels
B. to use a gas release tube
C. to execute stomach lavage
D. to prescribe a specific diet
E. to put an ice- bag on the abdomen.
380.
A patient with edema of lower limbs and ascites diuretics are prescribed. How to
control efficacy of treatment?
A. with urinalysis
B. with assessment of night diuresis
C. with Zimnitsky’s test
D. * with assessment of 24 hr diuresis
E. with water balance
381.
A patient with kidney disease is prescribed werehyporenko’s test. What is assessed
with this examination of urine?
A. * formed elements
B. glucose
C. amylase
D. specific gravity and diuresis
E. protein
382.
A patient with kidney disease is prescribed Zimnitsky’s test. What is assessed with
this examination of urine?
A. formed elements
B. glucose
C. amylase
D. * specific gravity and diuresis
E. protein
383.
A patient with kidney diseases discharges less than 50ml of urine per day. How is
this sign called?
A. * Disuria
B. Anuria
C. Pollakinuria
D. Polyuria
E. Dysuria
384.
A patient with kidney diseases discharges more than 2litres of urine per day. How is
this sign called?
A. Disuria
B. Anuria
C. Pollakinuria
D. * Polyuria
E. Dysuria
385.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to reveal Helicobacter Pylori infection?
A. Intragastral PH-metry
B.
C.
D.
E.
CBC
* Test for uropepsinogen
Stomach probing
Duodenal probing
386.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements excreted with urine per day. Which test should be used for the purpose?
A. Weryporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. * urine collected at any time
E. evening portion of urine
387.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements in 1ml of urine. Which test should be used for the purpose?
A. * Neyporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. urine collected at any time
E. evening portion of urine
388.
In which period of time should the patient collectn a portion of urine in each bottle?
A. each 2hrs
B. * each 3hrs
C. each 1hr
D. each 2,5hrs
E. each 6hrs
389.
Patient B is precribed urinalyses. How to collect urine correctly?
A. * medial portion of morning urine after hygienic toilet of perineum
B. first portion of morning urine
C. urine for 24hrs
D. urine collected at any time
E. evening portion of urine
390.
Patient D was prescribed test for assessment of kidney glomerular filtration. How is
this test called?
A. Weryporenko’s test
B. Zimnitsky’s test
C. * Reberg’s test
D. R
E. D
391.
Patient D., is hospitalized in endocrinological department of a hospital. It is
necessary to assess concentration of 17-ketoteroids in urine. How to collect urine correctly?
A. * 24 hrs portion of urine
B. First portion of morning urine
C. Medial portion of morning urine
D. Evening portion of urine
E. Urine collected at any time
392.
Patient D., who is on in-patient treatment in urologic department, Zimnitsy’s test is
prescribed. How many glass bottles should a nurse prepare for the test?
A. 12
B. 10
C. 6
D. 4
E. * 8
393.
Patient k, is hospitalized to infection department. He is prescribed bacteriologic
examination of blood smear. Nurse should prepare?
A. sterile Petri’s cup
B.
C.
D.
E.
* sterile tube
dry clean tube
sterile tube with conservatory
a vial 30 ml capacity
394.
What is necessary to prepare for taking smears for laboratory study?
A. a Petri dish
B. * 2 tubes: 1 for microscopic examination of pleural fluid and 2-sterile tube for its
bacteriological examination
C. a chemically poor tube for microscopic examination
D. sterile tube for bacterial examination
E. a vial 500 ml capacity
395.
A doctor appointed cholecystography for a patient . What iodinum preparation which
is used per os for this purpose?
A. * Cholevid
B. Verografin
C. Urografin
D. Barium mixture;
E. Tanin
396.
A patient with peptic ulcer suddenly developed pain in epigastrium. What must be
tactic of a nurse in this situation?
A. * Quickly to call on a doctor
B. To put an ice-bag
C. To enter 2 ml of a 50% solution of analgin
D. To conduct washing of stomach
E. To give to have a drink a 0,5% solution of novocaine
397.
A patient with ulcerative colitis suffers from constipation. Specify an enema which
must be conducted to the patient
A. * Oil
B. Siphon
C. Hypertensive
D. Cleansing
E. Medicamentous
398.
A patient with cardiac insufficiency and edema are on lower extremities has
constipation within the last 3 days. What enema is better to prescribe to the patient?
A. * Hypertonic with 100 ml of 10 % saline solution
B. Cleansing with 1,5 l of water
C. Oil with 100 ml of castor oil
D. Siphon with 10 l of water
E. Mikroenema with 50 ml of olive oil
399.
Disease of pancreas is suspected in a patient. What from the following methods of
research will be most informing for diagnostics ?
A. * serum amylase
B. serum iron
C. serum creatitine
D. serum bilirubin
E. serum protein
400.
Do the calculation of a 0,1% solution of Histaminum sulfate for stomach probing
with submaximal stimulation in the patient with body mass 60 kg:
A. * 0,48 ml;
B. 1 ml;
C. 0,6 ml;
D. 0,5 ml;
E. 0,1 ml.
401.
During duodenal probing darkly olive liquid was obtained and now the patient
started to discharge more light yellow bile. What does it mean?
A. gallbladder bile
B. gastric juice
C. duodenal content
D. * bile from bile ducts
E. bleeding from intestine
402.
During laboratory study of feces on the hidden blood in 2 minutes there was dark
blue colouring of Bensidine reactive. The reaction is considered to be:
A. * Positive.
B. Doubtful.
C. Stable.
D. no correct answer
E. Negative.
403.
During inspection of patient I., 65 years old it was found out a problem - absence of
act of defecation during 3 days. What nursing interference will be executed?
A. * cleansing enema
B. medical enema
C. siphon enema
D. purgitative enema
E. enema with starch
404.
During the leadthrough of gastric probing blood appeared together with stomach
juice. TWat the trained nurse must do ?
A. * to stop immediately the gastric probing
B. to suggest deeply to breathe through a nose
C. to suggest to do swallowing motions
D. to offer lips to clutch a probe
E. to continue the procedure
405.
During the leadthrough of the duodenal probing blood appeared together with
stomach juice. What the trained nurse must do?
A. * to stop the procedure immediately
B. to suggest deeply to breathe through a nose
C. to suggest to do swallowing motions
D. to offer lips to clutch a probe
E. to continue the procedure
406.
For a patient intestinal impassability is diagnosed. What enema does it follow to
appoint a patient before operation?
A. hypertensive
B. cleansing
C. * siphon;
D. oil;
E. drop enema.
407.
To the patient appointed duodenal probing. How many portions does the sample
cointain of in fractional duodenal probing?
A. 1
B. 2
C. 3
D. 4
E. * 5
408.
To the patient appointed duodenal probing. How many portions does the sample
cointain of in simple duodenal probing?
A. 1
B. 2
C. * 3
D. 4
E. 5
409.
A student is examining patient’s pulse. What parameter should he start from to assess
pulse properties?
A. rhythm;
B. filling;
C. frequency;
D. tension;
E. similarity on two radial arteries.
410.
By palpation patient’s pulse is dull. In what disease dull pulse is observed?
A. myocarditis;
B. pericarditis;
C. mitral defects;
D. * hypertension;
E. heart insufficiency.
411.
By palpation patient’s pulse is low and slow. “Pulsus parvus and tardus” is observed
at:
A. mirtal incompletence;
B. mitral stenosis;
C. aortal incompletence;
D. * stenosis of ostium of aorta;
E. hypertension.
412.
During examination of patient’s pulse a student revealed tachycardia. Tachycarida is
observed in the case of:
A. narrowing of aortic aperture;
B. hunger;
C. cardiac block;
D. * fever;
E. jaundice.
413.
During examination of patient’s pulse a student revealed bradycardia. Rare pulse is
observed in the case of:
A. increased body temperature;
B. heart insufficiency;
C. * complete atrioventricular block;
D. myocarditis;
E. thyrotoxicosis.
414.
A nurse is going to perform application of mustard plasters for a patient. Which
temperature of water is needed?
A. 0-9 °C
B. 10-19 °C
C. 20-39 °C
D. + 40-45 °C
E. * 46-65 °C
415.
A doctor made a conclusion about absence of contraindications for warming
compress. Select the disease which is indication for application of mustard plaster:
A. scabies
B. allergic dermatitis
C. furunculosis
D. hectic fever
E. * acute inflammation of the pharynx
416.
A nurse of therapeutic department had applied warming compress on patient’s neck.
What is duration of the procedure if the compress is wetted in 50% alcohol solution?
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. * + 4-6 hours
E. 6-8 hours
417.
A nurse of therapeutic department had applied warming compress on patient’s neck.
What is duration of the procedure if the compress is wetted in water?
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. * 4-6 hours
E. 6-8 hours
418.
A young patient is undergone application of warming compress on the left shoulder.
A nurse should explain for the patient that the compress will be removed in:
A. 30-40 min.
B. 1-2 hours
C. 3-4 hours
D. 4-6 hours
E. * 6-8 hours
419.
A young patient is undergone application of warming compress on the left shoulder.
How many slices warming compress consists of?
A. 1
B. 2
C. 3
D. * 4
E. 5
420.
A patient 62 years old is in cardiological department because of cardiac asthma,
which shifts to lung edema. How to take moist oxygen for him?
A. * with alcohol solution
B. with furacilin
C. with water
D. with manganese solution
E. with sodium hydrocarbonate
421.
A patient with rheumatoid arthritis is prescribed warming compress application.
What is the sequence of application?
A. a gause wetted in water-alcohol solution /90:10/, wax paper, cotton, bandage
B. a gause wetted in water-alcohol solution /50:50/, wax paper
C. * a gause wetted in water-alcohol solution /50:50/or water, wax paper, cotton,
bandage
D. wax paper, a gauge wetted in water-alcohol solution /90:10/, cotton, bandage
E. wax paper, a gause wetted in water, bandage
422.
Patient M., 48years old, developed rising of blood pressure /hypertonic crisis. Which
part of patient’s body is it possible to apply mustard plasters in this case?
A. along spinal cord
B. on the sternum
C. heart region
D. lumbar region
E. * it is not useful to apply mustard plasters in this case
423.
After examination of a patient a doctor made a consideration that application of
leeches in this case is contraindicated. Select contraindication for hirudotherapy:
A. Angina pectoris
B. Myocardial infarction
C. Brain stroke ischaemia
D. Hepatomegaly of the heart failure and ascites
E. * Hepatomegaly in liver cirrhosis and ascites
424.
A doctor after examination of a patient made a consideration that application of
mustard plasters should be changed on ice-bag. An ice-bag is used for:
A. resorption of infiltration
B. * in bleeding
C. in I period of fever
D. in chronic cholecistiasis
E. in III period of fever
425.
A doctor made a consideration that application of cups is contraindicated for the
patient. In which disease cups are not indicated:
A. * lung tuberculosis
B. pneumonia
C. intercostal neuralgy
D. radiculitis
E. myositis
426.
A reason for application of mustard plasters is:
A. hypertonic crisis
B. pneumonia
C. bronchitis
D. * lung bleeding
E. angina pectoris attack
427.
A doctor prescribed for a patient injection of 10 ml 10% CaCl2 solution. Which type
of injection should a nurse perform?
A. * intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
428.
A doctor prescribed for a patient injection of 4% KCL solution.Which type of
injection should a nurse perform?
A. intravenous
B. subcutaneous
C. intramuscular
D. intradermal
E. * i/v slow drop infusion
429.
A doctor prescribed for a patient injection of vitamin E. Which type of injection
should a nurse perform?
A. intravenous
B. * subcutaneous
C. intramuscular
D. intradermal
E. intra-arterial
430.
A patient on ulcerous illness of stomach suddenly had pain in an epigastrium. What
must tactic of a nurse be in this situation?
A. * Quickly to call on a doctor
B. To put an ice-bag
C. To enter 2 ml of a 50% solution of analgin
D. To conduct washing of stomach
E. To give to have a drink a 0,5% solution of novocaine
431.
At the nursing inspection of a patient, the trained nurse selected a diagnosis
«flatulence». What interference must she put in the plan?
A. purgative enema
B. cleansing enema
C. siphon enema
D. nourishing enema
E. * gas-freeing tube
432.
Disease of pancreas is suspected n a patient. What from the following methods of
research will be most informing for diagnostics?
A. Research of diastase in urine;
B. Bacteriological examination of urine;
C. Nechiporenko’s test;
D. General urianalyses
E. Zimnitsky’s test.
433.
During administration of antibiotic a patient developed dizziness, general weakness,
palpation and he lost consciousness soon. What should be first action of a nurse?
A. * to stop administration of antibiotic
B. to take to inhale ammonial spirit for the patient
C. to put the patient in the position with rised legs and lowered head
D. to apply a hot-water bottle
E. to take oxygen
434.
Fifty percent of the drug's original dose is in the blood 4 hours after administration.
What is the half-life of the drug?
A. 1 hour
B. 4 hours
C. * 2 hours
D. 8 hours
E. No correct answer
435.
A patient suffers from constipation because of ulcerative colitis. Specify an enema
which must be conducted a patient
A. * Oil
B. Siphon
C. Hypertensive
D. Cleansing
E. Medicamentous
436.
The nurse is to give an intramuscular injection to an obese adult. What size needle is
most appropriate?
A. 27-gauge, 3/8 inch
B. 23-gauge, 1 1/2 inch
C. 25-gauge, 1 inch
D. * 21-gauge, 2 inch
E. No correct answer
437.
Induction centre of hospital a patient entered 50 years with a diagnosis gastroenteric
bleeding. Sick, pale, covered a death-damp. AT - 90/60mm. mm of Hg. Pulse rate is
110/min. What decision concerning sanitary preparation will be correct?
A. * Not to conduct a preparation
B. Only hygienical bath
C. Only shower
D. Complete preparation
E. Partial preparation
438.
A junior nurse during cleaning up of toilet room found out absence of glass with the
clarified solution of chloric lime. She loudly informed the duty trained nurse which was in
the opposite end of corridor. What mode was violated by a junior nurse?
A. Sanitary-hygenic
B. Hospital
C. * Treatment-protective
D. Tretament-protective and sanitary-hygenic
E. Sanitary-hygenic and hospital
439.
A nurse during communication with a female elderly patient has pointed attention to
increased body weight of the patient. This decreases mobility of the woman. The nurse has
recommended to keep the main principle of elderly patients nutrition. What in the principle?
A. * Limitation of volume of food
B. Increased calorie content of food
C. Small portions, frequent meals
D. Increased protein content of food
E. Increased water intake
440.
A nurse has finished checking of a “medical chest for emergency care”. There are
present: 30 % albucid solution, 5 % iodinum solution, 3 % peroxygen solution. Which
component should be the chest completed with?
A. 96 % alcohol solution
B. Solution of brilliant green
C. Furacilin solution 1/4000
D. 1 % chloramine solution
E. * 70 % alcohol solution
441.
A nurse has finished checking of a “medical chest for emergency care”. There are
present: 70 % alcohol solution, 5 % iodinum solution, 3 % peroxygen solution. Which
component should be the chest completed with?
A. 96 % alcohol solution
B. Solution of brilliant green
C. Furacilin solution 1/4000
D. 1 % chloramine solution
E. * 30 % albucid solution
442.
A nurse is going to perform disinfection of instruments by immersion method. For
this purpose all the following solutions are used except of:
A. * Potassium manganese solution
B. 3 % chloramine B solution
C. 6 % peroxigen solution
D. 2 % glutaral solution
E. 70 % alcohol solution
443.
A nurse is visiting her neighbour who is the friend of her patient. The neighbour asks
about health condition of her friend. What should the nurse do?
A. * To tell her that it is not possible to take all the information
B. To tell about everything
C. To point her opinion on another things
D. To analyze health condition of the patient in details
E. To send her to attending doctor
444.
A nurse taking part in therapeutic communication with a patient promotes
understanding of his patient's feelings and condition to enable the nurse and patient to relate
better. Which element of therapeutic communication is the nurse practicing?
A. caring
B. empathy
C. * sympathy
D. validation
E. No correct answer
445.
A nurse taking part in therapeutic communication with a patient promotes
understanding of his patient's feelings and condition to enable the nurse and patient to relate
better. Which element of therapeutic communication is the nurse practicing?
A. caring
B. empathy
C. * sympathy
D. validation
E. No correct answer
446.
A nurses while they work in different departments of a hospiral fulfill different
medical documents. Select medical document which is fulfilled only by a nurse:
A. * The journal of registration of admitted patients
B. Case history
C. The card of ambulatory patient
D. Prescription card
E. Epicrisis
447.
A patient has the right for private life and confidentiality. Select actions of a nurse
for support of this right:
A. * All mentioned
B. To obtain patient’s permission for examination
C. To cover the patient during examinations
D. To ask his permission to open his boxes, closets, stands
E. To examine the patient behind a screen
448.
A patient who is treated in in-patient department speaks loudly at midnight. How to
comment actions of the patient?
A. Violation of internal regulation of the hospital
B. * Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
449.
A patient who is treated in in-patient department was visited by 5 friends who
brought for him a tape-recorder, listened loud music in the department and spoke loudly.
How to comment actions of visitors?
A. Violation of internal regulation of the hospital
B. * Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
450.
A radio announcer of fast train is “Donetsk – Kyiv” reported that for a woman from a
carriage N 9 premature births began and asked medical staff which are in a train, to render
and provide necessary help. The nurse which rode in a nearby carriage explained to that she
is on leave and renounced to give help. How must the trained nurse act in a correct way?
A. *To render medicare;
B. To renounce, explaining vacation;
C. To say no in medical help explaining absence
D. To renounce, explaining, that each has the personal time.
E. To suggest to land a woman at the nearest station, where help will be given it.
451.
As a nurse, you are caring for Mr. J. His is an immigrant from Bosnia. Mr. J. speaks
no English. You obtain the services of an interpreter. What is the most effective way for you
to work with an interpreter?
A. Avoid use of pictures or gestures to clarify meaning of words.
B. Speak to the patient rather than to the interpreter.
C. * Use various interpreters for interactions with Mr. J. to allow him to become
familiar with many people.
D. Direct your conversation to the interpreter who will then translate the information to
Mr. J.
E. No correct answer
452.
At the discussion of Code of Ethics of nurses of Ukraine, among the trained nurses of
a department there was a dispute: what actions, in obedience to Code, is acknowledged
unethical. Help to find a right answer
A. * Euthanasia on the request of patient
B. Intervention from the trained nurse is critical conditionwithout the consent of a
patient
C. A receipt of consent of patient is upon nursing examination
D. A receipt of consent of family members is upon nursing intervention
E. Implementation of intimate procedures.
453.
Discussion was provided in nurse collective about conflict patient. It was established
that he has utilitarian attitude towards his disease. What does it mean?
A. * The patient tend to get outcome from the disease
B. Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. Submerged in the disease
454.
Discussion was provided in nurse collective about conflict patient. It was established
that patient’s behavior may be estimated like agravation. What does it mean?
A. The patient tend to get outcome from the disease
B. Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. * Overstatement of signs of the disease
455.
Discussion was provided in nurse collective about conflict patient. It was established
that patient’s behavior may be estimated like dissimulation. What does it mean?
A. The patient tend to get outcome from the disease
B. * Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. Submerged in the disease
456.
During examination of a patient some patient’s blood has appeared in nurse’s ears.
Which disinfectant solution should be used in this case?
A. 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 70 % alcohol solution
457.
During examination of a patient some patient’s blood has appeared in nurse’s nasal
mucosa. Which disinfectant solution should be used in this case?
A. 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 1 % protargol solution
458.
During examination of a patient some patient’s blood has appeared on nurse’s
uniform. Which disinfectant solution should be used in this case?
A. 0,05 % potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 3 % chloramine solution
459.
During examination of a patient some patient’s blood has dropped on nurse’s eyes.
Which disinfectant solution should be used for cleansing of eyes?
A. * 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. 1 % protargol solution
460.
During intravenous infusion for a patient some patient’s blood has dropped on
nurse’s hand. Which prophylaxis measures should be performed?
A. * To wash hands with a soap, to treat them with a tampon wetted with 70 % alcohol
solution
B. To wash hands with a soap, to treat them with 1 % chloramine solution
C. To remove blood with sterile dry serviette
D. To treat hands with 3% chloramine solution, to treat them with a tampon wetted with
70 % alcohol solution
E. To treat hands twice with a tampon wetted with 5 % iodinum solution
461.
For preparation of 0,5 % chloramine B solution 5 gram of chloramine were taken.
What will be the volume of disinfectant solution?
A. * 1 litre
B. 2 litres
C. 3 litres
D. 6 litres
E. 0,5 litre
462.
For preparation of 5 % chloramine B solution 100 gram of chloramine were taken.
What will be the volume of disinfectant solution?
A. 1 litre
B. * 2 litres
C. 3 litres
D. 6 litres
E. 0,5 liter
463.
In a hospital department a pregnant woman is admitted. The patient has AIDS.
Which disinfectant solution should be used in this case for washing hands of a nurse before
and after examination of the patient?
A. Timasin
B. * Sterilium viruguard
C. Iodonat
D. Chlorhexidin
E. Potassium manganese solution
464.
In a procedure room there is a “Medicine chest for accidents” which contains
bandages, a vial for preparation of solutions, a vial for cleansing eyes, 70 % alcohol
solution, 5 % iodinum solution, 0,05 % solution of potassium permanganatis. This chest is
used for prophylaxis of viral and bacterial infections as well. Which component should be
the chest completed with?
A. * 6 % peroxygen solution
B. 96 % alcohol solution
C. 1 % chloramine solution
D. 5 % chloramine solution
E. 2 % glutaral solution
465.
Into admissious department of a hospital a patient was transported who felt himself
ill on the street (pain in abdominal region). The patient was followed by a passer-by. What
should be the first measure of admissious department personell?
A. * Examination by a doctor of admissious department
B. Examination by a surgeon
C. Examination by a therapist
D. Examination by a neurologist
E. Examination by emergency care doctor
466.
Into admissious department of a hospital a patient was transported who felt himself
ill on the street (pain in abdominal region). The patient was followed by a passer-by. Which
examination should a nurse of admissious department perform?
A. Inquiry of the patient
B. Inspection of the patient
C. Palpation, percussion, ECG
D. * Taking body temperature, assessment for signs of infectious diseases, pediculosis
and scabies, other examinations - according to prescriptions of a admissious
department doctor.
E. All mentioned
467.
It is necessary to provide ventilation of a ward in a hospital department where severe
patients are on the bed mode, but other patients do not let to do it for a nurse. What should
be the action of the nurse?
A. * To explain the importance of fresh air for severe patients, to cover severe patients
with blankets and to open a window
B. To point on necessity of ventilation
C. Do not provide ventilation
D. To call an a doctor
E. To ask all the patients to leave the ward
468.
On a reception a worker which got a trauma in the workplace in the state of alcoholic
intoxication appealed to the medical assistant of the clinic. However medical assistant, being
the relative of a victim, at direction of him to the trauma department, the fact of injuring in
the state of alcoholic intoxication. Estimate the conduct of medical assistant.
A. * carried out post violation;
B. carried out a noble act;
C. broke rule of conduct
D. helped a relative
E. carried out no offences
469.
Patient C. was accompanied to the admissions department of a hospital by a passerby after the patient has fallen unconscious on the street near the hospital. During inspection
myocardial infarction was revealed. What kind of sanitary treatment should be performed in
this case?
A. Complete (bath);
B. Complete (shower);
C. Partial;
D. All mentioned;
E. * Patient is to be hospitalized into the hospital without sanitary preparation.
470.
Patient D. walked into the admissious department of a hospital with a severe pain in
the heart region. Upon physical examination the doctor on duty revealed acute myocardial
infarction. How should the pateinet be transported?
A. On his feet;
B. Not transported at all;
C. * On the stretcher;
D. All of the above ways are possible;
E. None are correct.
471.
Patient S, is treated in a therapeutical department. He wants to visit his friend in
infectious department. What should be the tactic of the nurse on duty?
A. * Such visits are not allowed
B. To allow the visit;
C. To call the patient from infectious department to the therapeutical one;
D. To advice for both patients to meet in the hospital hall;
E. All mentioned above are correct .
472.
Practical work of a nurse is regulated with the certain standards. What are standards
of nursing?
A. * Positions which determine the volume, value and quality of working activity
B. Positions which determine diagnosis and treatment of pathological condition
C. Positions which determine actual and potential problems of a patient
D. Positions which determine teaching of a patient different skills
E. Positions which determine duties of a nurse
473.
The patient is perspiring, has an increase in pulse and blood pressure, and states, "I
am so worried about this operation I can't think straight." What is the most appropriate
nursing diagnosis for this patient?
A. Ineffective Individual Coping
B. * Powerlessness
C. Anxiety
D. Impaired Adjustment
E. No correct answer
474.
The patient is terminally ill and has signed an advance directive. In accordance with
the patient’s wishes, the physician has written a “do not resuscitate” (DNR) order. The
family tells the nurse that they expect cardiopulmonary resuscitation (CPR) to be performed
if their mother stops breathing. While they are talking, the patient suddenly stops breathing.
What should the nurse do?
A. Respect the wishes of the family
B. Have the family leave the room immediately
C. Notify the physician immediately.
D. * Follow the DNR order.
E. No correct answer
475.
The patient tells the nurse that even though it has been 4 months since her sister's
death from a ruptured aneurysm, the patient finds herself crying uncontrollably several times
a week. The patient is afraid she is "losing her mind. " What is the nurse’s best response?
A. “Most people get on with their lives within a few months. You should see a grief
counselor.”
B. “Whenever you start to cry, distract yourself from thoughts of your sister and try to
sing.”
C. “You should try not to cry. I'm sure your sister is in a better place now.”
D. * “Your feelings are completely normal and may continue for a long time.”
E. No correct answer
476.
The patient was recently in an accident that left him paralyzed from the neck down.
He is constantly criticizing the nurses. They can do nothing to please him. What is the most
appropriate nursing diagnosis for this patient?
A. Ineffective Individual Coping
B. Powerlessness
C. * Anxiety
D. Altered Role Performance
E. No correct answer
477.
The dying patient and family have been approached by their physician to consider a
move to a hospice-like facility for palliative care. The family members tell the nurse they are
afraid that their loved one will receive only custodial care because therapy for a cure is no
longer being pursueD. What is the nurse’s best response?
A. * “The goal of palliative care is to provide the greatest degree of comfort possible
and help the dying person enjoy whatever time is left.”
B. “Palliative care will release you from the burden of having to care for someone in the
home; it does not mean that curative treatment will stop.”
C. “A palliative care facility is like a nursing home, which costs less than a hospital
because less care is being provided. ”
D. “Your loved one is unaware of his surroundings and will not notice the difference
between home and a palliative care facility.”
E. No correct answer
478.
The nurse is caring for a patient who is living at home. The patient's family does
everything for the patient and does not encourage the patient to function independently. This
condition is described as
A. well-adjusted dependence
B. * well-adjusted independence
C. maladjusted dependence
D. codependence
E. No correct answer
479.
The nurse is caring for an anxious patient who is having difficulty communicating.
The patient can make no decisions and sits seemingly unable to take any action. The nurse
determines that this patient is at which level of anxiety?
A. mild
B. severe
C. moderate
D. * panic
E. No correct answer
480.
The spouse of a person remaining at home during a terminal illness is concerned
because the dying patient does not want to eat. What is the nurse’s best response?
A. * “If he says he is not hungry, let him know that food is available when he wants it
but don't insist that he eat.”
B. “A feeding tube can be placed in the nose to provide important nutrients.”
C. “Force him to eat even if he doesn't feel hungry, or he will die sooner.”
D. “He is getting all the nutrients he needs from his IV.”
E. No correct answer
481.
You are the charge nurse. You have been asked to meet with the husband of a patient
being cared for on the unit. The staff tells you he is very angry and wants to talk to someone
about the lousy care his wife is receiving. Which of the following communication
techniques should you use when interacting with this individual?
A. Arrange the setting so the husband is in front of the door with you directly behind
him.
B. Start the conversation with a handshake or touch to his shoulder to express your care
and concern.
C. * Do not turn your back on the man.
D. Stay above his line of vision.
E. No correct answer
482.
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
483.
A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a steril capacity for 3 days
484.
It is necessary to take urine for laboratory analysis in a woman with acute
pyelonephritis. The patient has menstruation at the moment. What to do?
A. To collect urine in a usual way;
B. To instruct the patient to collect urine into the vial;
C. To instruct the patient to collect urine into the vial after cleansing of perineum;
D. To wait and take the urine when menstruation will finish;
E. * To take urine by a catheter.
485.
Research of feces for hidden blood was prescribed for a patient. Wich preparation of
a patient is necessary:
A. * Diet withourt hemoglobin
B. Normal diet
C. Diet N1-a
D. Diet N15
E. Diet N 5.
486.
The patient of 34 years old passes an ambulatory inspection in a policlinic. A nurse
teaches the patient of rules of fence of urine on a uranalysis. When must urine for uranalyses
be delivered in a laboratory after a fence?
A. * Not later than 1 hr
B. Not later than 6 hr
C. Not later than 10 hr
D. For a day long
E. Through 3 hr
487.
To the patient I., 34, that is on treatment in a gastroenterologic department, duodenal
probing is appointed. Appearance of darkly olive liquid during the duodenal probing
corresponds to:
A. * Cystic bile
B. Hepatic bile
C. edema of pancreas
D. Gastric juice
E. contents of cystic duct
488.
To the patient M. is 45 years, which is in a gastroenterology separation concerning a
chronic cholecystitis, appointed v/v cholecystography. What must a medical sister do, to
prevent development of allergic reaction for a patient during the leadthrough of research?
A. * To conduct in the evening a test on verografin
B. To conduct in the evening a test on yodolipol
C. To conduct in the evening a test on yodognost
D. To conduct a morning a test on urografin
E. To conduct a morning a test on barium mixture
489.
To the patient of 42 appointed factious research of gastric juice. Weight of patient is
70 kg What amount of Histaminum of digidrokhloridu does need to be entered this patient
for stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
490.
To the patient of 42 appointed factious research of gastric juice. Weight of patient is
70 kg What amount of Histaminum of digidrokhloridu does need to be entered this patient
for stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
491.
To the patient of F., 35 years, which treats oneself in a gastroenterology separation, a
doctor appointed to collect an excrement on the eggs of intestinal worms. Explain to the
patient the technique of collection of excrement.
A. * To collect an excrement at once after emptying in an amount a 30-50 gramme in a
warm kind from 3th different places
B. To collect the morning svizhovidileniy (in a warm kind) excrement in an amount a 510 gramme
C. To collect an excrement in a sterile test tube with konservantom
D. To collect an excrement in sterile double-dish
E. To collect an excrement after the special preparation (bezgemoglobinova diet)
492.
While assisting during the procedure of abdominal cavity puncture (paracentesisi)
the trained nurse si tightening the patient’s abdomen with a towel. What is the purpose of
this action?
A. * Maximal evacuation of ascitic liquid
B. Diminishing of pain
C. Decline of blood pressure
D. Prevention of bleeding from a wound
E. To support the patient in necessary position
493.
A patient 62 y.o developed ischemia in early post operative period. Cauterization of a
gallbladder is prescribed for him. What should a nurse apply to a catheter before inserting
the catheter into the bladder?
A. * steril glycerine
B. vasline oil
C. furacyline solution 1\ 500
D. 3% enlarged solution
E. 0.55 KMn04 solution.
494.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to reveal Helicobacter Pylori infection?
A. Intragastral PH-metry
B. CBC
C. * C-respiratory test
D. Stomach probing
E. Duodenal probing
495.
A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test
is necessary to prescribe to assess acidity of stomach juice in different parts of the stomach?
A. * Intragastral PH-metry
B. CBC
C. C-respiratory test
D. Stomach probing
E. Duodenal probing
496.
a patient with pleurisy is undergone pleural puncture. Which complication may occur
during the procedure?
A. convulsion
B. dyspnea
C. * collapse
D. hypertension
E. coma
497.
A patient with renal edema is hospitalized in nephrological department. Zimnitsky’s
test is prescribed for him. Which preparation is to be performed?
A. Limitation of salt intake in diet
B. Usage of diuretics
C. * Abstinence from diuretics
D. Limitation of sugar in diet
E. Diet without hemoglobin-containing products
498.
In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements excreted with urine in 1minute. Which test should be used for the purpose?
A. Weryporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. urine collected at any time
E. * evening portion of urine
499.
A doctor prescribed hypertonic enema for the patient 54 years old with the atony of
intestine . What liquid must a nurse use for implementation of procedure?
A. * 10% saline solution
B. 4% solution of hydrochloric acid
C. 4% sodium hydrocarbonatis
D. 20% solution of glucose
E. 7% solution to potassium chloride.
500.
A nurse conducts the duodenal probing. What irritant needs to be entered to the
patient to obtain the second portion of bile :
A. 40% solution of glucose
B. 0,1% solution of Histamin
C. * 30% magnesium sulfatis solution
D. 0,025% pentagastrin solution
E. 5% ethyl spirit
501.
A patient 65 years is in a surgical department, an operation is conducted him
concerning cholelithiasis. In postoperative period, on the purpose of attanding doctor, the
trained nurse did him hypertonic. Emptying of intestine must pass:
A. * In 20 minutes
B. In 1 hour
C. In 10 hours
D. In 8 hours
E. In 5 minutes
502.
A patient has gingival bleeding. Research of excrement was appointed him to the
hidden blood. At preparation to research a patient must:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium hydrocarbonatis
D. Not to rinse a mouth with decoction of camomile
E. There is not a right answer
503.
A patient of 22 years is in oncologic department concerning to the disease of
stomach. A doctor prescribed him analysis of feces on the hidden blood. In the period of
preparation to this research the patient must:
A. * observe a diet without haemoglobin for 3 days
B. do a cleansing enema in the evening
C. take iodinum preparation 12 hours before research
D. take preparations of iron
E. observe the diet without cereals for 3 days
504.
A patient of 41 years old is in a gastroenterology department with suspicion on
stomach ulcer. Gastroduodenoscopy is appointed to him. At preparation to this research the
patient must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
505.
For a patient which is on treatment in a gastroenterology depatment, vomiting
appeared. What from the transferred facilities can utillize the trained nurse for stopping of
vomiting?
A. 2% sodium hydrokarbonate solution
B. * some mint drops
C. solution to potassium permanganate
D. warm water
E. 2% novocaine solution
506.
In a gynaecological department in a patient D., 45 years old, abdominal flatulence
developed after operation. A gas-freeing tube was appointed. On what depth in an intestine
must the trained nurse enter a gas-freeing tube?
A. * 20-30 cm
B. 8-10 cm
C. 10-15cm
D. 15-20cm
E. 30-40cm
507.
Ppatient A., 18 years old, was quickly delivered into admissious department of
infectious hospital by an ambulance. Diagnosis is "poisoning medicinal preparations
(ranquilizers)". Infirst aid washing of stomach was started. What temperature must water be
for this manipulation?
A. * 18 -20
B. 10 -12
C. 25 -30
D. 30 -35
E. 35 -40
508.
On purpose of a doctor a cleansing enema is appointed a patient. What amount of
water must be used for the procedure?
A. * 1,5 litre
B. 1 litre
C. 2 liters
D. 400 ml
E. 500 ml
509.
The man of 43 entered induction centre with the signs of the food poisoning. For
washing of stomach a medical sister prepared: 2 sterile stomach probes, glass watering-can,
towel, serviettes, gloves, 2 aprons, vaseline. What must a medical sister add for the
leadthrough of procedure?
A. * Sterile test tubes
B. Janet's syringe
C. Vacuum setting
D. Stand
E. phonendoskop
510.
The nurse of gastroenterologicy department conducts the duodental probing.What
irritant and before taking of what portion of bile is it necessary to enter?
A. * 33% manganese sulfate solution, before potrion B
B. 40% glucose solution, before portion C
C. Olive oil, before portion A
D. 7% cabbage decoction, before portion B
E. No correct answer
511.
The patient O. 28 years old. entered gastroenterologic department with complaints on
general weakness, indisposition, shortness of breath at the physical loading, pains in the area
of heart. During three years he is ill with peptic ulcer of stomach. Aamount of red blood
cells and haemoglobin in CBC are decreased. What research of excrement must be
appointed to a patient?
A. * An analysis of excrement for the hidden blood
B. Coprologic research
C. An analysis of excrement on the eggs of helmints
D. Bacteriologic examination of excrement
E. An analysis of excrement on an intestinal group of bacteria
512.
To patient D., 50 years old, by the district doctor of policlinic prescribed medical
microclyster for treatment of inflammatory process of rectum 50 ml of warm oil). That the
trained nurse must do after 30-40 min of this manipulation?
A. * Cleansing enema
B.
C.
D.
E.
Hypertensive enema
Drop enema
Siphon enema
Gas-freeing tube
513.
To the patient 55 years old a doctor appointed a cholecystography. What the sotr of
research is it?
A. * Roentgenologic research of gall-bladder
B. Endoskopic research of colon
C. Roentgenologic examination of stomach, duodenum
D. Rentgelogic research of kidneys
E. Endoskopic research of trachea and bronchial tubes
514.
To the patient after an operation on esophagus nasogastric probe is inserted for a
feeding. What volume of meal from day's norm would a nurse enter in the first day?
A. * 50%
B. 30%
C. 70%
D. 80%
E. 100%
515.
To the patient 40 years old with the purpose of preparation to the irrigoscopy it is
necessary to carry out cleaning of intestine by cleansing enemas. For cleansing enema it is
necessary to use boiled water in following volume:
A. * 1-1,5 l
B. 500 ml
C. 700 ml
D. 800 ml
E. 2000 ml
516.
To the patient K. 32years old, which is in a gastroenterologic department, a doctor
appointed gastroscopy. What must the trained nurse do for preparation of patient to this
research?
A. * To warn a patient that research is conducted on an empty stomach and the last
reception of meal must be not later than 18.00
B. To put an enema in the evening and by a morning before research
C. To give to have a drink castoir oil before the research
D. To conduct psychological preparation of patient, explaining a purpose and motion of
leadthrough of research
E. To appoint a diet without fibers for 2-3 days, siphon enema 2 hours prior to an
inspection
517.
To the patient K., 46 years old, which is in gastroenterologic department with
suspicion on tumor of the stomach , endoscopic examination was prescribed. What medical
inspection will the trained nurse prepare the patient for?
A. colonoscopy
B. irrigoscopy
C. cystoscopy
D. * gastroscopy
E. duodenoscopy
518.
To the patient K., 46 years old, which is in gastroenterologic department with
suspicion on intestinal tumor, X-rayexaminatiuon of a large intestine mucosa was
prescribed. What medical inspection will the trained nurse prepare the patient for?
A. colonoscopy
B. * irrigoscopy
C. gastrosopy
D. cystoscopy
E. duodenoscopy
519.
To the patient K., 46 years old, which is ingastroenterologic department with
suspicion on intestinal tumor, endoscopic examinatiuon of a large intestine mucosa was
prescribed. What medical inspection will the trained nurse prepare the patient for?
A. * Colonoscopy
B. Irrigoscopy
C. Cystoscopy
D. Gastroscopy
E. Duodenoskopy
520.
Patient K. have developed pain in the abdominal region. What should be the actions
of the nurse on duty when he asks a hot-water bottle to release pain?
A. To allow usage of a hot-water bottle;
B. A hot-water bottle is not allowed at all;
C. A hot-water bottle is not allowed while the patient will be inspected by a doctor;
D. Instead of a hot-water bottle a nurse can take spasmolitics for the patient;
E. Instead of a hot-water bottle a nurse can take analgin for the patient.
521.
Patient L. is treated at home. A doctor have prescribed leeches to him. Give the
patient instructions how to keep leeches at home, please.
A. In the open bottle in poor water;
B. In the vial with poor water clvered with a gause;
C. In the bottle with poor water closed by a rubber tube ;
D. In the refrigerator;
E. In the bottle with .salt water
522.
?1. A doctor prescribed application of mustard plasters on patient’s chest. What is
duration of the procedure?
A. 5-9 min.
B. * 0-15 min.
C. 16-20 min.
D. 1 hr
E. 21-30 min
523.
A doctor made a consideration that it is necessary to prescribe an application of cold
for the patient. Characterise an influence of cold on organism:
A. resorption of infiltration
B. antiinflammatory action
C. increase of blood inflow
D. antypiretic action
E. * decrease of bleeding
524.
A doctor made a conclusion that the patient developed hyperetonic crisis and it is
necessary to prescribe mustard plasters for him. What is a place of their application in this
case:
A. * on the back of the head
B. upper part of the sternum
C. between scapulas
D. below scapulas
E. lumbar region
525.
A doctor made a consideration that it is necessary to prescribe hirudotherapy for the
patient. A nurse is explainig to the patient the technique of the procedure. One leech can
suck the following amount of the blood:
A. 5 ml
B. * + 10 ml
C. 20 ml
D. 15 ml
E. 25 ml
526.
A doctor made a conclusion that application of mustard plasters is contraindicated
for the patient. Select, which influence in the organism is not typical for mustard plasters:
A.
B.
C.
D.
E.
antiallergic action
resorptive action
warming action
analgetic action
* antiviral action
527.
A doctor prescribed for a patient application of mustard plasters. During the
procedure the patient complains of itch and burning sensations in places of application.
What should be duration of the procedure in this case?
A. * to stop immediatelly
B. 10-15 min.
C. 16-20 min.
D. 21-30 min.
E. 1 hr
528.
A patient suffers from high body temperature, severe headache heat and excitation.
Which simplest physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * cold compress
E. warming compress
529.
A patient suffers from high body temperature, severe headache heat and excitation.
Which symptomps physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * an ice-bag
E. warming compress
530.
A patient with acute bronchitis complains of fever 37,2°C, dry cough. Which among
the following measures are necessary to perform?
A. antipiretics per os
B. hot-water bottle
C. oxygenotherapy
D. * inhalation with soda
E. cold compress
531.
A patient with arterial hypertension was prescribed hirudotherapy. In 3 days after the
procedure he complains of pain and swelling in places of application, enlargement of lymph
nodes, fever 39°C. Which complication developed?
A. * infectious contamination of wounds
B. bleeding from wounds
C. myositis
D. hematoma
E. allergic reaction
532.
A doctor made a consideration that it is necessary to prescribe application of mustard
plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. pneumonia
C. tuberculosis
D. * acute bronchitis
E. malignant tumor
533.
A doctor made a consideration that it is necessary to prescribe application of mustard
plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. acute bronchitis
C. tuberculosis
D. * exacerbation of chronic bronchitis
E. malignant tumor
534.
A patient tells a nurse that she is considering using herbal supplements in addition to
her prescription medications. What would be the nurse’s best response?
A. “Herbs are not classified as drugs in the United States, so there is no contraindication
to using them.”
B. * “Herbs have pharmacologic effects on the body and can interact with some
prescription medications.”
C. “It is never permissible to use herbal supplements with prescription medications.”
D. “I will refer you to an herbalist who can help you decide which medications you can
take.”
E. No correct answer
535.
A patient with an aortic valve replacement is taking a daily dose of warfarin to
prevent clot formation. The patient states that he is also taking ginkgo biloba to improve his
memory and concentration. What would be the nurse’s best response?
A. Inform the patient that memory problems following valve replacement surgery are
common, but temporary.
B. * Instruct the patient that ginkgo biloba interacts with anticoagulant drugs and then
check for bruising or bleeding.
C. Inform the patient that this drug combination is most effective if the ginkgo biloba is
taken twice daily.
D. Instruct the patient to keep a record of episodes of forgetfulness or memory
disturbances to monitor effectiveness.
E. No correct answer
536.
A doctor appointed the patient of 54 years old with the atony of intestine
hypertensive enema. What liquid must a medical sister utillize for implementation of
procedure?
A. * 10% soluble-sodium chloride
B. 4% solution of khloristovodnevoy acid
C. 4% soluble-sodium gidrokarbonatu
D. 20% solution of glucose
E. 7% solution to potassium of chloride.
537.
A doctor prescribed for a patient with heart failure injections of strophanthin 0.05%
0.5 ml i/v diluted in 0.9 % saline solution. Choose the syringe of proper capacity:
A. * 20ml
B. 5ml
C. 2ml
D. 1ml
E. insulin syringe
538.
A medical sister conducts the duodenal probing. What irritant needs to be entered a
patient, that the second portion of bile appeared
A. 40% solution of glucose
B. 0,1% solution of Histaminum
C. * 30% solution of sul'fata magniya
D. 0,025% solution of pentagastrinu
E. 5% ethyl spirit
539.
A nurse is assisting a patient preparing for surgery by using progressive muscle
relaxation. What rationale best supports the use of this complementary therapy at this time?
A. This therapy rebalances or repatterns a person’s energy field.
B. This therapy improves flexibility and assists with positioning during surgery.
C. This therapy is based on the theory that applying pressure releases congestion and
promotes energy flow.
D. * This therapy provides the intentional tensing and releasing of successive muscle
groups, thereby promoting relaxation and decreasing anxiety.
E. No correct answer
540.
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
541.
A patient has gingival bleeding. Research of excrement was appointed him to the
hidden blood. At preparation to research a patient must\:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium nhydrocarbonatis
D. Not to rinse a mouth decoction of camomile
E. There is not a right answer
542.
A patient is in a gastroenterology department with suspicion on stomach ulcer.
Gastroduodenoscopy is appointed to him. At preparation to this research the patient must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
543.
A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected\:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a sterile capacity for 3 days
544.
A patient was injected medical preparation in the morning. In the evening of the
same day he reported a nurse about pain in the place of injection, swelling of this area. How
to solve the patient’s problem?
A. * to apply a hot-water bottle
B. to use electrical procedures
C. to apply warming compress with 50% alcohol
D. to apply cold water compress with 50% alcohol
E. to apply an ice bag
545.
A patient with infectious disease developed body temperature 40*C, delirium and
hallucinations. Which method should be used in care program?
A. * application of an ice bag to patient’s head
B. application of mustard plasters on the back of the head
C. application of hot water bottle
D. application of warming compress
E. cups along spinal cord.
546.
After i/m injection of 5ml 25 % MgS04 solution into buttock region the patient feels
numbness on the posterior and external surface of the tight, shin and the foot on the side of
injection. What is the cause of these sensations?
A. * a nurse selected place for injection not correctly
B. radiculitis
C. ostheoporosis
D. increased individual sensitivity to drug
E. pyrogenic reaction
547.
During I/V drop infusion of preparation the patient developed headache, chills, fever.
If to be asked, the patient reported that he kept this preparation on sunlight for 2days. What
happened to the patient?
A. * pyrogenic reaction
B. air embolism
C. necrosis
D. abscess
E. infiltration
548.
Ear drops are ordered for a patient. Which assessment finding would cause the nurse
to question the order?
A. The patient states she is hard of hearing.
B. * The patient's tympanic membrane is perforated.
C. The patient has wax in her ear.
D. The patient states she has an earache.
E. No correct answer
549.
In examining a peripheral IV site, the nurse observes a red streak along the length of
the vein and the vein feels hard and cordlike. What is the correct interpretation of these
findings?
A. An allergic reaction in response to the tape, cleansing agent, or solution
B. Infiltration of drug solution into the extravascular tissues
C. Local infection from bacterial contamination
D. * Phlebitis of the vein in use for IV therapy
E. No correct answer
550.
Patient of 65 year old is prescribed heparin.Which anatomical area on the patient’s
body should a nurse select for injection?
A. Upper-external quadrant of buttock region
B. lower-external quadrant of buttock region
C. internal surface of shoulder
D. internal surface of tight.
E. * lateral surface of abdominal wall
551.
The patient asks the nurse to leave his sleeping pill at the bedside because he wants
to read for a few more minutes before going to sleep. The most appropriate action for the
nurse to take is to
A. leave the pill as requested
B. * tell the patient to call the nurse when he is ready for his medication
C. tell the patient he can take it now or not at all since this is when it is ordered
D. leave the pill as requested and check back in half an hour to be sure the patient took
the medication
E. No correct answer
552.
The patient has a medication prescribed. When assessing the patient, the nurse
discovers the patient does not understand why the drug is being administered or exactly
when it should be taken. The most appropriate nursing diagnosis is
A. Altered Health Maintenance
B. Altered Nutrition
C. * Knowledge Deficit
D. Ineffective Management of Therapeutic Regimen
E. No correct answer
553.
The patient is receiving fluid therapy by the intraosseous route. On taking the
morning vital signs, the nurse finds the patient to have tachypnea, tachycardia, fever, and
petechiae. What complication is likely?
A. Compartment syndrome
B. Needle obstruction
C. Osteomyelitis
D. * Embolus
E. No correct answer
554.
The patient receiving intraperitoneal (IP) therapy for ovarian cancer has abdominal
pain, rigidity, and rebound tenderness. What is the nurse’s best first action?
A. Remove the IP catheter.
B. * Take the patient's temperature.
C. Document the findings as the only action.
D. Culture the skin around the catheter exit site.
E. No correct answer
555.
The patient who has just had an IV started in the right cephalic vein tells the nurse
that the wrist and hand below the IV site feel like there are “pins and needles” in them. What
is the nurse’s best action?
A. Document the response as the only action.
B. * Discontinue the IV and restart it at another site.
C. Check for the presence of a strong blood return.
D. Elevate the extremity so that it is above the level of the heart.
E. No correct answer
556.
The patient who requires long-term intravenous therapy and will be having a central
VAD inserted asks the nurse what the differences are between a tunneled and a nontunneled
central VAD. What is the nurse’s best response?
A. * “Tunneled VADs can remain in place longer and have a lower risk for infection
than nontunneled VADs.”
B. “Nontunneled VADs protrude through the skin surface and tunneled VADs are
totally implanted beneath the skin surface.”
C. “Nontunneled VADs can only be inserted into peripheral blood vessels and tunneled
VADs are inserted into central blood vessels.”
D. “Tunneled VADs can be used for drawing blood samples, but blood cannot be drawn
for laboratory analysis through a nontunneled VAD.”
E. No correct answer
557.
The patient with cancer is about to have an implanted port placed for chemotherapy.
She cries and tells the nurse that she is worried that she will not be able to swim or shower
with this device, and that its presence will remind her daily that she has cancer. What is the
nurse’s best response?
A. * “The device is totally under the skin, so you can swim, shower, and bathe when the
incision is healed.”
B. “Having this device in place will prevent a lot of pain and save your veins in case
you need more therapy later.”
C. “Try not to worry. This device is temporary and will be removed as soon as your
regimen of chemotherapy is over.”
D. “If you carefully tape plastic wrap over the tubes and caps, you can still shower,
although taking a tub bath and swimming are not permitted.”
E. No correct answer
558.
The duration of application of a warm compress is:
A. 30-40 minutes
B. 40-60 minutes
C. 8-10 hours
D. 4-6 hours
E. 1-2 hours
559.
The home care nurse is about to administer intravenous medication to the patient and
reads in the chart that the PICC line in the patient's left arm has been in place for 4 weeks.
The IV is patent, with a good blood return. The site is clean and free from manifestations of
infiltration, irritation, and infection. What is the nurse’s best action?
A. Notify the physician.
B. * Document the findings; administer the prescribed medication.
C. Discontinue the PICC line; save the tip aseptically for culture; restart the IV at a new
site.
D. Switch the medication to the oral route; arrange for the patient to have an x-ray to
ascertain the PICC location.
E. No correct answer
560.
The physician has written an order for a drug for a patient. The nurse believes the
drug dosage to be in error. What is the nurse's responsibility?
A. Make a notation on the patient's medication administration recorD.
B. Ask another nurse if the order is correct.
C. * Withhold the drug and ask the physician.
D. Administer the drug and question the physician later.
E. No correct answer
561.
The physician writes an order for medication to be given every 4 hours p.r.n. How
should the nurse administer this drug?
A. every 4 hours around the clock
B. * every 4 hours if the patient's condition indicates a need for it
C. as many as four times a day
D. every 4 hours if the patient asks for it
E. No correct answer
562.
When assessing the patient’s peripheral IV site, the nurse observes a streak of red
along the vein path and can palpate a 4-cm venous corD. What is the most accurate
documentation of this finding?
A. IV infiltration/extravasation with a 4-cm area of erythema and edema
B. Thrombosis and infection of IV site
C. * Grade 3 phlebitis at IV site
D. Grade 1 phlebitis at IV site
E. No correct answer
563.
A patient has the right:
A. * Information about personal and professional status of persons who provide care of
him
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
564.
A patient has the right:
A. * To receive proper treatment and care accordingly to his needs
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
565.
A patient has the right:
A. * To change a medical worker who render treatment or care to him or a hospital
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
566.
A patient is experiencing crisis related to the loss of a job. This is which type of
crisis?
A. developmental
B. * adventitious
C. situational
D. organizational
E. No correct answer
567.
A patient is in crisis following a disastrous flood that destroyed the entire town. This
is which type of crisis?
A. developmental
B. adventitious
C. * situational
D. No correct answer
E. organizational
568.
A nurse is going to immerse medical instruments into 3 % chloramine B solution for
sterilization. What is duration of immersion?
A. * 60 min
B. 30 min
C. 15 min
D. 240 min
E. 90 min
569.
A nurse must check a patient's vital signs. Which personal space or invisible buffer
zone will the nurse be entering?
A. * intimate distance
B. close distance
C. personal distance
D. social or public distance
E. No correct answer
570.
A nurse must check a patient's vital signs. Which personal space or invisible buffer
zone will the nurse be entering?
A. * intimate distance
B. close distance
C. personal distance
D. social or public distance
E. No correct answer
571.
A patient has the right:
A. * Complete information about all the aspects of planned of performed medical
interventions
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
572.
A patient has the right:
A. * Information about the risk of medical intervention
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
573.
A patient has the right:
A. * Acquaintance of medical documentation where his health condition is reflected
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
574.
A patient has the right:
A. * Information about personal and professional status of persons who execute
treatment of him
B. Support of vital functions
C. Communication
D. Discipline of medical stuff
E. New methods of treatment
575.
A.
B.
C.
D.
E.
576.
A.
B.
C.
D.
E.
A patient has the right:
* Complete information about his health
Support of vital functions
Communication
Discipline of medical stuff
New methods of treatment
A sign “P+” on the title of Case History means that:
Pediculosis was revealed in the patient
* Patient was treated because of pediculosis and requires the following ibservation
Sanitary-epidemic station was reported about the case of pediculosis
The patient contacted with another one ill with pediculosis
The patient has pediculosis in anamnesis
A subjective response that occurs when a person experiences a threat to well-being is
577.
called
A. a stressor
B. anxiety
C. * stress
D. adaptation
E. No correct answer
578.
A type of stress that results in positive outcomes is known as
A. * eustress
B. anxiety
C. adaptation
D. secondary gain
E. No correct answer
579.
Acceptance in a nurse-patient relationship means
A. tolerating all the patient's behaviors
B. * not expressing shock at a patient's behaviors
C. adopting the patient's value system
D. expecting the patient to behave according to acceptable standards
E. No correct answer
580.
According to requirements of sanitary and hygienic regimen in summer season
hospital wards should be ventilated:
A. * All 24 hours
B. Not rare than 2 times a day
C. Not rare than 1 time a day
D. Not rare than 3 times a day
E. Not rare than 5 times a day
581.
According to requirements of sanitary and hygienic regimen in winter season
hospital wards should be ventilated:
A. All 24 hours
B. * Not rare than 2 times a day
C. Not rare than 1 time a day
D. Not rare than 3 times a day
E. Not rare than 5 times a day
582.
According to requirements of sanitary and hygienic regimen the square of floor
necessary for one patient in a ward is equal to:
A. * 7 m2
B. 6 m2
C. 8 m2
D. 4 m2
E. It is not regulated
583.
According to requirements of sanitary and hygienic regimen volume of air necessary
for one patient in a ward is equal to:
A.
B.
C.
D.
E.
584.
A.
B.
C.
D.
E.
585.
A.
B.
C.
D.
E.
586.
A.
B.
C.
D.
E.
587.
A.
B.
C.
D.
E.
588.
A.
B.
C.
D.
E.
589.
A.
B.
C.
D.
E.
* 25 m3
16 m3
30 m3
15 m3
It is not regulated
Active listening
* focuses on the feelings of the individual who is speaking
occurs when the nurse is active in performing procedures for the patient
involves responding in an active way to what the patient is saying
means the nurse focuses primarily on the words of the speaker
No correct answer
AIDS is transmitted by the following channel:
Fecal-oral
Respiratory
* Transmissive (percutaneous)
Contact through the skin
No any answer is correct
AIDS is transmitted by the following channel:
Fecal-oral
Respiratory
* In sexual contacts
Contact through the skin
No any answer is correct
All the following belong to patient’s needs in self-respect except of:
* Help
Water, air
Respect to other people
Praise
Property
All the following belong to patient’s social needs except of:
* Property
Love
Friends
Family
Praise
All the following belong to subjective data about patient except of:
* Complaints
Examination of a pulse
Data of laboratory examination
Data of physical examination
Diagnosis before admission to a hospital
Situations real-life
1. Induction centre of hospital a patient entered 50 years with a diagnosis gastroenteric
bleeding. Sick, pale, covered a death-damp. AT - 90/60mm. mm of Hg. Pulse rate is
110/min. What decision concerning sanitary preparation will be correct?
A. * Not to conduct a preparation
B. Only hygienical bath
C. Only shower
D. Complete preparation
E. Partial preparation
2. A junior nurse during cleaning up of toilet room found out absence of glass with the
clarified solution of chloric lime. She loudly informed the duty trained nurse which was in
the opposite end of corridor. What mode was violated by a junior nurse?
A. Sanitary-hygenic
B. Hospital
C. * Treatment-protective
D. Tretament-protective and sanitary-hygenic
E. Sanitary-hygenic and hospital
3. A nurse during communication with a female elderly patient has pointed attention to
increased body weight of the patient. This decreases mobility of the woman. The nurse has
recommended to keep the main principle of elderly patients nutrition. What in the principle?
A. * Limitation of volume of food
B. Increased calorie content of food
C. Small portions, frequent meals
D. Increased protein content of food
E. Increased water intake
4. A nurse has finished checking of a “medical chest for emergency care”. There are present:
30 % albucid solution, 5 % iodinum solution, 3 % peroxygen solution. Which component
should be the chest completed with?
A. 96 % alcohol solution
B. Solution of brilliant green
C. Furacilin solution 1/4000
D. 1 % chloramine solution
E. * 70 % alcohol solution
5. A nurse has finished checking of a “medical chest for emergency care”. There are present:
70 % alcohol solution, 5 % iodinum solution, 3 % peroxygen solution. Which component
should be the chest completed with?
A. 96 % alcohol solution
B. Solution of brilliant green
C. Furacilin solution 1/4000
D. 1 % chloramine solution
E. * 30 % albucid solution
6. A nurse is going to perform disinfection of instruments by immersion method. For this
purpose all the following solutions are used except of:
A. * Potassium manganese solution
B. 3 % chloramine B solution
C. 6 % peroxigen solution
D. 2 % glutaral solution
E. 70 % alcohol solution
7. A nurse is visiting her neighbour who is the friend of her patient. The neighbour asks about
health condition of her friend. What should the nurse do?
A. * To tell her that it is not possible to take all the information
B. To tell about everything
C. To point her opinion on another things
D. To analyze health condition of the patient in details
E. To send her to attending doctor
8. A nurse taking part in therapeutic communication with a patient promotes understanding of
his patient's feelings and condition to enable the nurse and patient to relate better. Which
element of therapeutic communication is the nurse practicing?
A. caring
B. empathy
C. * sympathy
D. validation
E. No correct answer
9. A nurse taking part in therapeutic communication with a patient promotes understanding of
his patient's feelings and condition to enable the nurse and patient to relate better. Which
element of therapeutic communication is the nurse practicing?
A. caring
B. empathy
C. * sympathy
D. validation
E. No correct answer
10. A nurses while they work in different departments of a hospiral fulfill different medical
documents. Select medical document which is fulfilled only by a nurse:
A. * The journal of registration of admitted patients
B. Case history
C. The card of ambulatory patient
D. Prescription card
E. Epicrisis
11. A patient has the right for private life and confidentiality. Select actions of a nurse for
support of this right:
A. * All mentioned
B. To obtain patient’s permission for examination
C. To cover the patient during examinations
D. To ask his permission to open his boxes, closets, stands
E. To examine the patient behind a screen
12. A patient who is treated in in-patient department speaks loudly at midnight. How to
comment actions of the patient?
A. Violation of internal regulation of the hospital
B. * Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
13. A patient who is treated in in-patient department was visited by 5 friends who brought for
him a tape-recorder, listened loud music in the department and spoke loudly. How to
comment actions of visitors?
A. Violation of internal regulation of the hospital
B. * Violation of treatment-protection regimen
C. Violation of sanitary-epidemic regimen
D. The patient doesn’t violate any regulations
E. All mentioned
14. A radio announcer of fast train is “Donetsk – Kyiv” reported that for a woman from a
carriage N 9 premature births began and asked medical staff which are in a train, to render
and provide necessary help. The nurse which rode in a nearby carriage explained to that she
is on leave and renounced to give help. How must the trained nurse act in a correct way?
A. *To render medicare;
B. To renounce, explaining vacation;
C. To say no in medical help explaining absence
D. To renounce, explaining, that each has the personal time.
E. To suggest to land a woman at the nearest station, where help will be given it.
15. As a nurse, you are caring for Mr. J. His is an immigrant from Bosnia. Mr. J. speaks no
English. You obtain the services of an interpreter. What is the most effective way for you to
work with an interpreter?
A. Avoid use of pictures or gestures to clarify meaning of words.
B. Speak to the patient rather than to the interpreter.
C. * Use various interpreters for interactions with Mr. J. to allow him to become
familiar with many people.
D. Direct your conversation to the interpreter who will then translate the information to
Mr. J.
E. No correct answer
16. At the discussion of Code of Ethics of nurses of Ukraine, among the trained nurses of a
department there was a dispute: what actions, in obedience to Code, is acknowledged
unethical. Help to find a right answer
A. * Euthanasia on the request of patient
B. Intervention from the trained nurse is critical conditionwithout the consent of a
patient
C. A receipt of consent of patient is upon nursing examination
D. A receipt of consent of family members is upon nursing intervention
E. Implementation of intimate procedures.
17. Discussion was provided in nurse collective about conflict patient. It was established that he
has utilitarian attitude towards his disease. What does it mean?
A. * The patient tend to get outcome from the disease
B. Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. Submerged in the disease
18. Discussion was provided in nurse collective about conflict patient. It was established that
patient’s behavior may be estimated like agravation. What does it mean?
A. The patient tend to get outcome from the disease
B. Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. * Overstatement of signs of the disease
19. Discussion was provided in nurse collective about conflict patient. It was established that
patient’s behavior may be estimated like dissimulation. What does it mean?
A. The patient tend to get outcome from the disease
B. * Ignoration of the disease
C. Underestimation of the disease
D. Groundless fear of a disease
E. Submerged in the disease
20. During examination of a patient some patient’s blood has appeared in nurse’s ears. Which
disinfectant solution should be used in this case?
A. 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 70 % alcohol solution
21. During examination of a patient some patient’s blood has appeared in nurse’s nasal mucosa.
Which disinfectant solution should be used in this case?
A. 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 1 % protargol solution
22. During examination of a patient some patient’s blood has appeared on nurse’s uniform.
Which disinfectant solution should be used in this case?
A. 0,05 % potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. * 3 % chloramine solution
23. During examination of a patient some patient’s blood has dropped on nurse’s eyes. Which
disinfectant solution should be used for cleansing of eyes?
A. * 0,05 % Potassium manganese solution
B. 6 % peroxygen solution
C. 2 % glutaral solution
D. Distillated water
E. 1 % protargol solution
24. During intravenous infusion for a patient some patient’s blood has dropped on nurse’s hand.
Which prophylaxis measures should be performed?
A. * To wash hands with a soap, to treat them with a tampon wetted with 70 % alcohol
solution
B. To wash hands with a soap, to treat them with 1 % chloramine solution
C. To remove blood with sterile dry serviette
D. To treat hands with 3% chloramine solution, to treat them with a tampon wetted with
70 % alcohol solution
E. To treat hands twice with a tampon wetted with 5 % iodinum solution
25. For preparation of 0,5 % chloramine B solution 5 gram of chloramine were taken. What will
be the volume of disinfectant solution?
A. * 1 litre
B. 2 litres
C. 3 litres
D. 6 litres
E. 0,5 litre
26. For preparation of 5 % chloramine B solution 100 gram of chloramine were taken. What
will be the volume of disinfectant solution?
A. 1 litre
B. * 2 litres
C. 3 litres
D. 6 litres
E. 0,5 liter
27. In a hospital department a pregnant woman is admitted. The patient has AIDS. Which
disinfectant solution should be used in this case for washing hands of a nurse before and
after examination of the patient?
A. Timasin
B. * Sterilium viruguard
C. Iodonat
D. Chlorhexidin
E. Potassium manganese solution
28. In a procedure room there is a “Medicine chest for accidents” which contains bandages, a
vial for preparation of solutions, a vial for cleansing eyes, 70 % alcohol solution, 5 %
iodinum solution, 0,05 % solution of potassium permanganatis. This chest is used for
prophylaxis of viral and bacterial infections as well. Which component should be the chest
completed with?
A. * 6 % peroxygen solution
B. 96 % alcohol solution
C. 1 % chloramine solution
D. 5 % chloramine solution
E. 2 % glutaral solution
29. Into admissious department of a hospital a patient was transported who felt himself ill on the
street (pain in abdominal region). The patient was followed by a passer-by. What should be
the first measure of admissious department personell?
A. * Examination by a doctor of admissious department
B. Examination by a surgeon
C. Examination by a therapist
D. Examination by a neurologist
E. Examination by emergency care doctor
30. Into admissious department of a hospital a patient was transported who felt himself ill on the
street (pain in abdominal region). The patient was followed by a passer-by. Which
examination should a nurse of admissious department perform?
A. Inquiry of the patient
B. Inspection of the patient
C. Palpation, percussion, ECG
D. * Taking body temperature, assessment for signs of infectious diseases, pediculosis
and scabies, other examinations - according to prescriptions of a admissious
department doctor.
E. All mentioned
31. It is necessary to provide ventilation of a ward in a hospital department where severe
patients are on the bed mode, but other patients do not let to do it for a nurse. What should
be the action of the nurse?
A. * To explain the importance of fresh air for severe patients, to cover severe patients
with blankets and to open a window
B. To point on necessity of ventilation
C. Do not provide ventilation
D. To call an a doctor
E. To ask all the patients to leave the ward
32. On a reception a worker which got a trauma in the workplace in the state of alcoholic
intoxication appealed to the medical assistant of the clinic. However medical assistant, being
the relative of a victim, at direction of him to the trauma department, the fact of injuring in
the state of alcoholic intoxication. Estimate the conduct of medical assistant.
A. * carried out post violation;
B. carried out a noble act;
C. broke rule of conduct
D. helped a relative
E. carried out no offences
33. Patient C. was accompanied to the admissions department of a hospital by a passer-by after
the patient has fallen unconscious on the street near the hospital. During inspection
myocardial infarction was revealed. What kind of sanitary treatment should be performed in
this case?
A. Complete (bath);
B. Complete (shower);
C. Partial;
D. All mentioned;
E. * Patient is to be hospitalized into the hospital without sanitary preparation.
34. Patient D. walked into the admissious department of a hospital with a severe pain in the
heart region. Upon physical examination the doctor on duty revealed acute myocardial
infarction. How should the pateinet be transported?
A. On his feet;
B. Not transported at all;
C. * On the stretcher;
D. All of the above ways are possible;
E. None are correct.
35. Patient S, is treated in a therapeutical department. He wants to visit his friend in infectious
department. What should be the tactic of the nurse on duty?
A. * Such visits are not allowed
B. To allow the visit;
C. To call the patient from infectious department to the therapeutical one;
D. To advice for both patients to meet in the hospital hall;
E. All mentioned above are correct .
36. Practical work of a nurse is regulated with the certain standards. What are standards of
nursing?
A. * Positions which determine the volume, value and quality of working activity
B. Positions which determine diagnosis and treatment of pathological condition
C. Positions which determine actual and potential problems of a patient
D. Positions which determine teaching of a patient different skills
E. Positions which determine duties of a nurse
37. The patient is perspiring, has an increase in pulse and blood pressure, and states, "I am so
worried about this operation I can't think straight." What is the most appropriate nursing
diagnosis for this patient?
A. Ineffective Individual Coping
B. * Powerlessness
C. Anxiety
D. Impaired Adjustment
E. No correct answer
38. The patient is terminally ill and has signed an advance directive. In accordance with the
patient’s wishes, the physician has written a “do not resuscitate” (DNR) order. The family
tells the nurse that they expect cardiopulmonary resuscitation (CPR) to be performed if their
mother stops breathing. While they are talking, the patient suddenly stops breathing. What
should the nurse do?
A. Respect the wishes of the family
B. Have the family leave the room immediately
C. Notify the physician immediately.
D. * Follow the DNR order.
E. No correct answer
39. The patient tells the nurse that even though it has been 4 months since her sister's death from
a ruptured aneurysm, the patient finds herself crying uncontrollably several times a week.
The patient is afraid she is "losing her mind. " What is the nurse’s best response?
A. “Most people get on with their lives within a few months. You should see a grief
counselor.”
B. “Whenever you start to cry, distract yourself from thoughts of your sister and try to
sing.”
C. “You should try not to cry. I'm sure your sister is in a better place now.”
D. * “Your feelings are completely normal and may continue for a long time.”
E. No correct answer
40. The patient was recently in an accident that left him paralyzed from the neck down. He is
constantly criticizing the nurses. They can do nothing to please him. What is the most
appropriate nursing diagnosis for this patient?
A. Ineffective Individual Coping
B. Powerlessness
C. * Anxiety
D. Altered Role Performance
E. No correct answer
41. The dying patient and family have been approached by their physician to consider a move to
a hospice-like facility for palliative care. The family members tell the nurse they are afraid
that their loved one will receive only custodial care because therapy for a cure is no longer
being pursueD. What is the nurse’s best response?
A. * “The goal of palliative care is to provide the greatest degree of comfort possible
and help the dying person enjoy whatever time is left.”
B. “Palliative care will release you from the burden of having to care for someone in the
home; it does not mean that curative treatment will stop.”
C. “A palliative care facility is like a nursing home, which costs less than a hospital
because less care is being provided. ”
D. “Your loved one is unaware of his surroundings and will not notice the difference
between home and a palliative care facility.”
E. No correct answer
42. The nurse is caring for a patient who is living at home. The patient's family does everything
for the patient and does not encourage the patient to function independently. This condition
is described as
A. well-adjusted dependence
B. * well-adjusted independence
C. maladjusted dependence
D. codependence
E. No correct answer
43. The nurse is caring for an anxious patient who is having difficulty communicating. The
patient can make no decisions and sits seemingly unable to take any action. The nurse
determines that this patient is at which level of anxiety?
A. mild
B. severe
C. moderate
D. * panic
E. No correct answer
44. The spouse of a person remaining at home during a terminal illness is concerned because the
dying patient does not want to eat. What is the nurse’s best response?
A. * “If he says he is not hungry, let him know that food is available when he wants it
but don't insist that he eat.”
B. “A feeding tube can be placed in the nose to provide important nutrients.”
C. “Force him to eat even if he doesn't feel hungry, or he will die sooner.”
D. “He is getting all the nutrients he needs from his IV.”
E. No correct answer
45. You are the charge nurse. You have been asked to meet with the husband of a patient being
cared for on the unit. The staff tells you he is very angry and wants to talk to someone about
the lousy care his wife is receiving. Which of the following communication techniques
should you use when interacting with this individual?
A. Arrange the setting so the husband is in front of the door with you directly behind
him.
B. Start the conversation with a handshake or touch to his shoulder to express your care
and concern.
C. * Do not turn your back on the man.
D. Stay above his line of vision.
E. No correct answer
46. A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
47. A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a steril capacity for 3 days
48. It is necessary to take urine for laboratory analysis in a woman with acute pyelonephritis.
The patient has menstruation at the moment. What to do?
A. To collect urine in a usual way;
B. To instruct the patient to collect urine into the vial;
C. To instruct the patient to collect urine into the vial after cleansing of perineum;
D. To wait and take the urine when menstruation will finish;
E. * To take urine by a catheter.
49. Research of feces for hidden blood was prescribed for a patient. Wich preparation of a
patient is necessary:
A. * Diet withourt hemoglobin
B. Normal diet
C. Diet N1-a
D. Diet N15
E. Diet N 5.
50. The patient of 34 years old passes an ambulatory inspection in a policlinic. A nurse teaches
the patient of rules of fence of urine on a uranalysis. When must urine for uranalyses be
delivered in a laboratory after a fence?
A. * Not later than 1 hr
B. Not later than 6 hr
C. Not later than 10 hr
D. For a day long
E. Through 3 hr
51. To the patient I., 34, that is on treatment in a gastroenterologic department, duodenal
probing is appointed. Appearance of darkly olive liquid during the duodenal probing
corresponds to:
A. * Cystic bile
B. Hepatic bile
C. edema of pancreas
D. Gastric juice
E. contents of cystic duct
52. To the patient M. is 45 years, which is in a gastroenterology separation concerning a chronic
cholecystitis, appointed v/v cholecystography. What must a medical sister do, to prevent
development of allergic reaction for a patient during the leadthrough of research?
A. * To conduct in the evening a test on verografin
B. To conduct in the evening a test on yodolipol
C. To conduct in the evening a test on yodognost
D. To conduct a morning a test on urografin
E. To conduct a morning a test on barium mixture
53. To the patient of 42 appointed factious research of gastric juice. Weight of patient is 70 kg
What amount of Histaminum of digidrokhloridu does need to be entered this patient for
stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
54. To the patient of 42 appointed factious research of gastric juice. Weight of patient is 70 kg
What amount of Histaminum of digidrokhloridu does need to be entered this patient for
stimulation of gastric secretion?
A. * 0,50
B. 0,24
C. 0,32
D. 0,48
E. 0,56
55. To the patient of F., 35 years, which treats oneself in a gastroenterology separation, a doctor
appointed to collect an excrement on the eggs of intestinal worms. Explain to the patient the
technique of collection of excrement.
A. * To collect an excrement at once after emptying in an amount a 30-50 gramme in a
warm kind from 3th different places
B. To collect the morning svizhovidileniy (in a warm kind) excrement in an amount a 510 gramme
C. To collect an excrement in a sterile test tube with konservantom
D. To collect an excrement in sterile double-dish
E. To collect an excrement after the special preparation (bezgemoglobinova diet)
56. While assisting during the procedure of abdominal cavity puncture (paracentesisi) the
trained nurse si tightening the patient’s abdomen with a towel. What is the purpose of this
action?
A. * Maximal evacuation of ascitic liquid
B. Diminishing of pain
C. Decline of blood pressure
D. Prevention of bleeding from a wound
E. To support the patient in necessary position
57. A patient 62 y.o developed ischemia in early post operative period. Cauterization of a
gallbladder is prescribed for him. What should a nurse apply to a catheter before inserting
the catheter into the bladder?
A. * steril glycerine
B. vasline oil
C. furacyline solution 1\ 500
D. 3% enlarged solution
E. 0.55 KMn04 solution.
58. A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test is
necessary to prescribe to reveal Helicobacter Pylori infection?
A. Intragastral PH-metry
B. CBC
C. * C-respiratory test
D. Stomach probing
E. Duodenal probing
59. A patient with pain in epigastric region was diagnosed with peptic ulcer. Which test is
necessary to prescribe to assess acidity of stomach juice in different parts of the stomach?
A. * Intragastral PH-metry
B. CBC
C. C-respiratory test
D. Stomach probing
E. Duodenal probing
60. a patient with pleurisy is undergone pleural puncture. Which complication may occur during
the procedure?
A. convulsion
B. dyspnea
C. * collapse
D. hypertension
E. coma
61. A patient with renal edema is hospitalized in nephrological department. Zimnitsky’s test is
prescribed for him. Which preparation is to be performed?
A. Limitation of salt intake in diet
B. Usage of diuretics
C. * Abstinence from diuretics
D. Limitation of sugar in diet
E. Diet without hemoglobin-containing products
62. In patient C., with chronic kidney disease, it is necessary to assess amount of formed
elements excreted with urine in 1minute. Which test should be used for the purpose?
A. Weryporenko’s test
B. Zimnitsky’s test
C. Reberg’s test
D. urine collected at any time
E. * evening portion of urine
63. A doctor prescribed hypertonic enema for the patient 54 years old with the atony of intestine
. What liquid must a nurse use for implementation of procedure?
A. * 10% saline solution
B. 4% solution of hydrochloric acid
C. 4% sodium hydrocarbonatis
D. 20% solution of glucose
E. 7% solution to potassium chloride.
64. A nurse conducts the duodenal probing. What irritant needs to be entered to the patient to
obtain the second portion of bile :
A. 40% solution of glucose
B. 0,1% solution of Histamin
C. * 30% magnesium sulfatis solution
D. 0,025% pentagastrin solution
E. 5% ethyl spirit
65. A patient 65 years is in a surgical department, an operation is conducted him concerning
cholelithiasis. In postoperative period, on the purpose of attanding doctor, the trained nurse
did him hypertonic. Emptying of intestine must pass:
A. * In 20 minutes
B. In 1 hour
C. In 10 hours
D. In 8 hours
E. In 5 minutes
66. A patient has gingival bleeding. Research of excrement was appointed him to the hidden
blood. At preparation to research a patient must:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium hydrocarbonatis
D. Not to rinse a mouth with decoction of camomile
E. There is not a right answer
67. A patient of 22 years is in oncologic department concerning to the disease of stomach. A
doctor prescribed him analysis of feces on the hidden blood. In the period of preparation to
this research the patient must:
A. * observe a diet without haemoglobin for 3 days
B. do a cleansing enema in the evening
C. take iodinum preparation 12 hours before research
D. take preparations of iron
E. observe the diet without cereals for 3 days
68. A patient of 41 years old is in a gastroenterology department with suspicion on stomach
ulcer. Gastroduodenoscopy is appointed to him. At preparation to this research the patient
must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
69. For a patient which is on treatment in a gastroenterology depatment, vomiting appeared.
What from the transferred facilities can utillize the trained nurse for stopping of vomiting?
A. 2% sodium hydrokarbonate solution
B. * some mint drops
C. solution to potassium permanganate
D. warm water
E. 2% novocaine solution
70. In a gynaecological department in a patient D., 45 years old, abdominal flatulence developed
after operation. A gas-freeing tube was appointed. On what depth in an intestine must the
trained nurse enter a gas-freeing tube?
A. * 20-30 cm
B. 8-10 cm
C. 10-15cm
D. 15-20cm
E. 30-40cm
71. Ppatient A., 18 years old, was quickly delivered into admissious department of infectious
hospital by an ambulance. Diagnosis is "poisoning medicinal preparations (ranquilizers)".
Infirst aid washing of stomach was started. What temperature must water be for this
manipulation?
A. * 18 -20
B. 10 -12
C. 25 -30
D. 30 -35
E. 35 -40
72. On purpose of a doctor a cleansing enema is appointed a patient. What amount of water
must be used for the procedure?
A. * 1,5 litre
B. 1 litre
C. 2 liters
D. 400 ml
E. 500 ml
73. The man of 43 entered induction centre with the signs of the food poisoning. For washing of
stomach a medical sister prepared: 2 sterile stomach probes, glass watering-can, towel,
serviettes, gloves, 2 aprons, vaseline. What must a medical sister add for the leadthrough of
procedure?
A. * Sterile test tubes
B. Janet's syringe
C. Vacuum setting
D. Stand
E. phonendoskop
74. The nurse of gastroenterologicy department conducts the duodental probing.What irritant
and before taking of what portion of bile is it necessary to enter?
A. * 33% manganese sulfate solution, before potrion B
B. 40% glucose solution, before portion C
C. Olive oil, before portion A
D. 7% cabbage decoction, before portion B
E. No correct answer
75. The patient O. 28 years old. entered gastroenterologic department with complaints on
general weakness, indisposition, shortness of breath at the physical loading, pains in the area
of heart. During three years he is ill with peptic ulcer of stomach. Aamount of red blood
cells and haemoglobin in CBC are decreased. What research of excrement must be
appointed to a patient?
A. * An analysis of excrement for the hidden blood
B. Coprologic research
C. An analysis of excrement on the eggs of helmints
D. Bacteriologic examination of excrement
E. An analysis of excrement on an intestinal group of bacteria
76. To patient D., 50 years old, by the district doctor of policlinic prescribed medical
microclyster for treatment of inflammatory process of rectum 50 ml of warm oil). That the
trained nurse must do after 30-40 min of this manipulation?
A. * Cleansing enema
B. Hypertensive enema
C. Drop enema
D. Siphon enema
E. Gas-freeing tube
77. To the patient 55 years old a doctor appointed a cholecystography. What the sotr of research
is it?
A. * Roentgenologic research of gall-bladder
B. Endoskopic research of colon
C. Roentgenologic examination of stomach, duodenum
D. Rentgelogic research of kidneys
E. Endoskopic research of trachea and bronchial tubes
78. To the patient after an operation on esophagus nasogastric probe is inserted for a feeding.
What volume of meal from day's norm would a nurse enter in the first day?
A. * 50%
B. 30%
C. 70%
D. 80%
E. 100%
79. To the patient 40 years old with the purpose of preparation to the irrigoscopy it is necessary
to carry out cleaning of intestine by cleansing enemas. For cleansing enema it is necessary
to use boiled water in following volume:
A. * 1-1,5 l
B. 500 ml
C. 700 ml
D. 800 ml
E. 2000 ml
80. To the patient K. 32years old, which is in a gastroenterologic department, a doctor appointed
gastroscopy. What must the trained nurse do for preparation of patient to this research?
A. * To warn a patient that research is conducted on an empty stomach and the last
reception of meal must be not later than 18.00
B. To put an enema in the evening and by a morning before research
C. To give to have a drink castoir oil before the research
D. To conduct psychological preparation of patient, explaining a purpose and motion of
leadthrough of research
E. To appoint a diet without fibers for 2-3 days, siphon enema 2 hours prior to an
inspection
81. To the patient K., 46 years old, which is in gastroenterologic department with suspicion on
tumor of the stomach , endoscopic examination was prescribed. What medical inspection
will the trained nurse prepare the patient for?
A. colonoscopy
B. irrigoscopy
C. cystoscopy
D. * gastroscopy
E. duodenoscopy
82. To the patient K., 46 years old, which is in gastroenterologic department with suspicion on
intestinal tumor, X-rayexaminatiuon of a large intestine mucosa was prescribed. What
medical inspection will the trained nurse prepare the patient for?
A. colonoscopy
B. * irrigoscopy
C. gastrosopy
D. cystoscopy
E. duodenoscopy
83. To the patient K., 46 years old, which is ingastroenterologic department with suspicion on
intestinal tumor, endoscopic examinatiuon of a large intestine mucosa was prescribed. What
medical inspection will the trained nurse prepare the patient for?
A. * Colonoscopy
B. Irrigoscopy
C. Cystoscopy
D. Gastroscopy
E. Duodenoskopy
84. Patient K. have developed pain in the abdominal region. What should be the actions of the
nurse on duty when he asks a hot-water bottle to release pain?
A. To allow usage of a hot-water bottle;
B. A hot-water bottle is not allowed at all;
C. A hot-water bottle is not allowed while the patient will be inspected by a doctor;
D. Instead of a hot-water bottle a nurse can take spasmolitics for the patient;
E. Instead of a hot-water bottle a nurse can take analgin for the patient.
85. Patient L. is treated at home. A doctor have prescribed leeches to him. Give the patient
instructions how to keep leeches at home, please.
A. In the open bottle in poor water;
B. In the vial with poor water clvered with a gause;
C. In the bottle with poor water closed by a rubber tube ;
D. In the refrigerator;
E. In the bottle with .salt water
86. ?1. A doctor prescribed application of mustard plasters on patient’s chest. What is duration
of the procedure?
A. 5-9 min.
B. * 0-15 min.
C. 16-20 min.
D. 1 hr
E. 21-30 min
87. A doctor made a consideration that it is necessary to prescribe an application of cold for the
patient. Characterise an influence of cold on organism:
A. resorption of infiltration
B. antiinflammatory action
C. increase of blood inflow
D. antypiretic action
E. * decrease of bleeding
88. A doctor made a conclusion that the patient developed hyperetonic crisis and it is necessary
to prescribe mustard plasters for him. What is a place of their application in this case:
A. * on the back of the head
B. upper part of the sternum
C. between scapulas
D. below scapulas
E. lumbar region
89. A doctor made a consideration that it is necessary to prescribe hirudotherapy for the patient.
A nurse is explainig to the patient the technique of the procedure. One leech can suck the
following amount of the blood:
A. 5 ml
B. * + 10 ml
C. 20 ml
D. 15 ml
E. 25 ml
90. A doctor made a conclusion that application of mustard plasters is contraindicated for the
patient. Select, which influence in the organism is not typical for mustard plasters:
A. antiallergic action
B. resorptive action
C. warming action
D. analgetic action
E. * antiviral action
91. A doctor prescribed for a patient application of mustard plasters. During the procedure the
patient complains of itch and burning sensations in places of application. What should be
duration of the procedure in this case?
A. * to stop immediatelly
B. 10-15 min.
C. 16-20 min.
D. 21-30 min.
E. 1 hr
92. A patient suffers from high body temperature, severe headache heat and excitation. Which
simplest physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * cold compress
E. warming compress
93. A patient suffers from high body temperature, severe headache heat and excitation. Which
symptomps physiotherapeutic procedure is it possible to use?
A. a hot water bottle
B. mustard plasters
C. cups
D. * an ice-bag
E. warming compress
94. A patient with acute bronchitis complains of fever 37,2°C, dry cough. Which among the
following measures are necessary to perform?
A. antipiretics per os
B. hot-water bottle
C. oxygenotherapy
D. * inhalation with soda
E. cold compress
95. A patient with arterial hypertension was prescribed hirudotherapy. In 3 days after the
procedure he complains of pain and swelling in places of application, enlargement of lymph
nodes, fever 39°C. Which complication developed?
A. * infectious contamination of wounds
B. bleeding from wounds
C. myositis
D. hematoma
E. allergic reaction
96. A doctor made a consideration that it is necessary to prescribe application of mustard
plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. pneumonia
C. tuberculosis
D. * acute bronchitis
E. malignant tumor
97. A doctor made a consideration that it is necessary to prescribe application of mustard
plasters for him. In which conditions mustard plasters may be used:
A. lung bleeding
B. acute bronchitis
C. tuberculosis
D. * exacerbation of chronic bronchitis
E. malignant tumor
98. A patient tells a nurse that she is considering using herbal supplements in addition to her
prescription medications. What would be the nurse’s best response?
A. “Herbs are not classified as drugs in the United States, so there is no contraindication
to using them.”
B. * “Herbs have pharmacologic effects on the body and can interact with some
prescription medications.”
C. “It is never permissible to use herbal supplements with prescription medications.”
D. “I will refer you to an herbalist who can help you decide which medications you can
take.”
E. No correct answer
99. A patient with an aortic valve replacement is taking a daily dose of warfarin to prevent clot
formation. The patient states that he is also taking ginkgo biloba to improve his memory and
concentration. What would be the nurse’s best response?
A. Inform the patient that memory problems following valve replacement surgery are
common, but temporary.
B. * Instruct the patient that ginkgo biloba interacts with anticoagulant drugs and then
check for bruising or bleeding.
C. Inform the patient that this drug combination is most effective if the ginkgo biloba is
taken twice daily.
D. Instruct the patient to keep a record of episodes of forgetfulness or memory
disturbances to monitor effectiveness.
E. No correct answer
100.
A doctor appointed the patient of 54 years old with the atony of intestine
hypertensive enema. What liquid must a medical sister utillize for implementation of
procedure?
A. * 10% soluble-sodium chloride
B. 4% solution of khloristovodnevoy acid
C. 4% soluble-sodium gidrokarbonatu
D. 20% solution of glucose
E. 7% solution to potassium of chloride.
101.
A doctor prescribed for a patient with heart failure injections of strophanthin 0.05%
0.5 ml i/v diluted in 0.9 % saline solution. Choose the syringe of proper capacity:
A. * 20ml
B. 5ml
C. 2ml
D. 1ml
E. insulin syringe
102.
A medical sister conducts the duodenal probing. What irritant needs to be entered a
patient, that the second portion of bile appeared
A. 40% solution of glucose
B. 0,1% solution of Histaminum
C. * 30% solution of sul'fata magniya
D. 0,025% solution of pentagastrinu
E. 5% ethyl spirit
103.
A nurse is assisting a patient preparing for surgery by using progressive muscle
relaxation. What rationale best supports the use of this complementary therapy at this time?
A. This therapy rebalances or repatterns a person’s energy field.
B. This therapy improves flexibility and assists with positioning during surgery.
C. This therapy is based on the theory that applying pressure releases congestion and
promotes energy flow.
D. * This therapy provides the intentional tensing and releasing of successive muscle
groups, thereby promoting relaxation and decreasing anxiety.
E. No correct answer
104.
A patient 65 years is in a surgical department, operated because of cholelithiasis. In a
postoperative period a nurse did him a hypertensive enema. Emptying of intestine must take
a place:
A. * in 20 min
B. in 1 hour
C. in 10 hour
D. in 8 hour
E. in 5 min
105.
A patient has gingival bleeding. Research of excrement was appointed him to the
hidden blood. At preparation to research a patient must\:
A. To clean teeth only in the evening
B. * Not to clean teeth with a brush
C. Not to rinse a mouth with 3% sodium nhydrocarbonatis
D. Not to rinse a mouth decoction of camomile
E. There is not a right answer
106.
A patient is in a gastroenterology department with suspicion on stomach ulcer.
Gastroduodenoscopy is appointed to him. At preparation to this research the patient must:
A. * come in the day of research with an empty stomach
B. conduct the series of cleansing enemas
C. do a cleansing enema after 2 hours before research
D. accept purgative preparations for purpose of doctor
E. exclude brown bread and milk from a ration
107.
A patient of 62 years old is on treatment in a pulmonologic department concerning
exacerbation of chronic bronchitis. The bacteriologic examination of sputum is appointed to
him. Sputum should be collected\:
A. * In a sterile capacity, not touching to its edges
B. In the clean vial of 3 - 5 ml
C. In a clean vial for days
D. In a clean vial for 3 days
E. In a sterile capacity for 3 days
108.
A patient was injected medical preparation in the morning. In the evening of the
same day he reported a nurse about pain in the place of injection, swelling of this area. How
to solve the patient’s problem?
A. * to apply a hot-water bottle
B. to use electrical procedures
C. to apply warming compress with 50% alcohol
D. to apply cold water compress with 50% alcohol
E. to apply an ice bag
109.
A patient with infectious disease developed body temperature 40*C, delirium and
hallucinations. Which method should be used in care program?
A. * application of an ice bag to patient’s head
B. application of mustard plasters on the back of the head
C. application of hot water bottle
D. application of warming compress
E. cups along spinal cord.
110.
After i/m injection of 5ml 25 % MgS04 solution into buttock region the patient feels
numbness on the posterior and external surface of the tight, shin and the foot on the side of
injection. What is the cause of these sensations?
A. * a nurse selected place for injection not correctly
B. radiculitis
C. ostheoporosis
D. increased individual sensitivity to drug
E. pyrogenic reaction
111.
During I/V drop infusion of preparation the patient developed headache, chills, fever.
If to be asked, the patient reported that he kept this preparation on sunlight for 2days. What
happened to the patient?
A. * pyrogenic reaction
B. air embolism
C. necrosis
D. abscess
E. infiltration
112.
Ear drops are ordered for a patient. Which assessment finding would cause the nurse
to question the order?
A. The patient states she is hard of hearing.
B. * The patient's tympanic membrane is perforated.
C. The patient has wax in her ear.
D. The patient states she has an earache.
E. No correct answer
113.
In examining a peripheral IV site, the nurse observes a red streak along the length of
the vein and the vein feels hard and cordlike. What is the correct interpretation of these
findings?
A. An allergic reaction in response to the tape, cleansing agent, or solution
B. Infiltration of drug solution into the extravascular tissues
C. Local infection from bacterial contamination
D. * Phlebitis of the vein in use for IV therapy
E. No correct answer
114.
Patient of 65 year old is prescribed heparin.Which anatomical area on the patient’s
body should a nurse select for injection?
A. Upper-external quadrant of buttock region
B. lower-external quadrant of buttock region
C. internal surface of shoulder
D. internal surface of tight.
E. * lateral surface of abdominal wall
115.
The patient asks the nurse to leave his sleeping pill at the bedside because he wants
to read for a few more minutes before going to sleep. The most appropriate action for the
nurse to take is to
A. leave the pill as requested
B. * tell the patient to call the nurse when he is ready for his medication
C. tell the patient he can take it now or not at all since this is when it is ordered
D. leave the pill as requested and check back in half an hour to be sure the patient took
the medication
E. No correct answer
116.
The patient has a medication prescribed. When assessing the patient, the nurse
discovers the patient does not understand why the drug is being administered or exactly
when it should be taken. The most appropriate nursing diagnosis is
A. Altered Health Maintenance
B. Altered Nutrition
C. * Knowledge Deficit
D. Ineffective Management of Therapeutic Regimen
E. No correct answer
117.
The patient is receiving fluid therapy by the intraosseous route. On taking the
morning vital signs, the nurse finds the patient to have tachypnea, tachycardia, fever, and
petechiae. What complication is likely?
A. Compartment syndrome
B. Needle obstruction
C. Osteomyelitis
D. * Embolus
E. No correct answer
118.
The patient receiving intraperitoneal (IP) therapy for ovarian cancer has abdominal
pain, rigidity, and rebound tenderness. What is the nurse’s best first action?
A. Remove the IP catheter.
B. * Take the patient's temperature.
C. Document the findings as the only action.
D. Culture the skin around the catheter exit site.
E. No correct answer
119.
The patient who has just had an IV started in the right cephalic vein tells the nurse
that the wrist and hand below the IV site feel like there are “pins and needles” in them. What
is the nurse’s best action?
A. Document the response as the only action.
B. * Discontinue the IV and restart it at another site.
C. Check for the presence of a strong blood return.
D. Elevate the extremity so that it is above the level of the heart.
E. No correct answer
120.
The patient who requires long-term intravenous therapy and will be having a central
VAD inserted asks the nurse what the differences are between a tunneled and a nontunneled
central VAD. What is the nurse’s best response?
A. * “Tunneled VADs can remain in place longer and have a lower risk for infection
than nontunneled VADs.”
B. “Nontunneled VADs protrude through the skin surface and tunneled VADs are
totally implanted beneath the skin surface.”
C. “Nontunneled VADs can only be inserted into peripheral blood vessels and tunneled
VADs are inserted into central blood vessels.”
D. “Tunneled VADs can be used for drawing blood samples, but blood cannot be drawn
for laboratory analysis through a nontunneled VAD.”
E. No correct answer
121.
The patient with cancer is about to have an implanted port placed for chemotherapy.
She cries and tells the nurse that she is worried that she will not be able to swim or shower
with this device, and that its presence will remind her daily that she has cancer. What is the
nurse’s best response?
A. * “The device is totally under the skin, so you can swim, shower, and bathe when the
incision is healed.”
B. “Having this device in place will prevent a lot of pain and save your veins in case
you need more therapy later.”
C. “Try not to worry. This device is temporary and will be removed as soon as your
regimen of chemotherapy is over.”
D. “If you carefully tape plastic wrap over the tubes and caps, you can still shower,
although taking a tub bath and swimming are not permitted.”
E. No correct answer
122.
The duration of application of a warm compress is:
A. 30-40 minutes
B. 40-60 minutes
C. 8-10 hours
D. 4-6 hours
E. 1-2 hours
123.
The home care nurse is about to administer intravenous medication to the patient and
reads in the chart that the PICC line in the patient's left arm has been in place for 4 weeks.
The IV is patent, with a good blood return. The site is clean and free from manifestations of
infiltration, irritation, and infection. What is the nurse’s best action?
A. Notify the physician.
B. * Document the findings; administer the prescribed medication.
C. Discontinue the PICC line; save the tip aseptically for culture; restart the IV at a new
site.
D. Switch the medication to the oral route; arrange for the patient to have an x-ray to
ascertain the PICC location.
E. No correct answer
124.
The physician has written an order for a drug for a patient. The nurse believes the
drug dosage to be in error. What is the nurse's responsibility?
A. Make a notation on the patient's medication administration recorD.
B. Ask another nurse if the order is correct.
C. * Withhold the drug and ask the physician.
D. Administer the drug and question the physician later.
E. No correct answer
125.
The physician writes an order for medication to be given every 4 hours p.r.n. How
should the nurse administer this drug?
A. every 4 hours around the clock
B. * every 4 hours if the patient's condition indicates a need for it
C. as many as four times a day
D. every 4 hours if the patient asks for it
E. No correct answer
126.
When assessing the patient’s peripheral IV site, the nurse observes a streak of red
along the vein path and can palpate a 4-cm venous corD. What is the most accurate
documentation of this finding?
A. IV infiltration/extravasation with a 4-cm area of erythema and edema
B. Thrombosis and infection of IV site
C. * Grade 3 phlebitis at IV site
D. Grade 1 phlebitis at IV site
E. No correct answer
Questins to pictures
1. The syringe 150 ml capacity is presented on the picture 1. How is this syringe called?
A. Luer’s syringe
B. Syrette
C. *Janet’s syringe
D. Insuline syringe
E. Syringe «Record»
2. The syringe presented on the picture 1 is for admnistraion of large volume of liquid and for
lawage of body cavities. How is this syringe called?
A. Luer’s syringe
B. Syrette
C. Insuline syringe
D. Syringe «Record»
E. *Janet’s syringe
3. The syringe 150 ml capacity is presented on the picture 1. Which purpose is it used for?
A. For subcutaneous injections
B. For intramuscular injections
C. For intravenous injections
D. For intradermal injections
E. *For admnistraion of large volume of liquid or medical preparation as well as for lawage of
body cavities
4. How is presented on the picture 2 syringe called?
A. Janet’s syringe
B. Luer’s syringe
C. Syrette
D. Syringe «Record»
E. *Insuline syringe
5. What is the difference of the presented on the picture 2 syringe from other syringes?
A. Syringe capacity- 1 ml
B. It is narrow and elongated
C. This is dysposable syringe
D. It has thin and acute needle
E. *On the scale of the cylinder there are indicated both graduation in mililiters and units
6. How is presented on the picture 3 syringe called?
A. Janet’s syringe
B. Luer’s syringe
C. Insuline syringe
D. Syringe «Record»
E. *Syrette
7. Choose the way of administration of medicines with the syringe presented on the picture 3:
A. *subcutaneously
B. intramusculary
C. intavenously
D. into a pleural cavity
E. intradermally
8. Which type of injection is presented on the picture 4?
A. Intradermal
B. *Intramuscular
C. Subcutaneous
D. Intravenous
E. Intraarterial
9. Injection into external-lateral quadrant of the gluteal region is presented on the picture 4. Which
other place can you choose for this type of injection except of presented on the picture?
A. Internal surface of the forearm
B. Lateral surface of the abdominal wall
C. External surface of the abdominal wall
D. Lower part of inguinal region
E. *External-lateral surface of the thigh
10. Manipulation presented on the picture 5 may be used with the following purpose:
A. Taking blood samples for laboratory investigation
B. Bloodletting
C. Administration of solution of medical reparation
D. Administration of blood and its derivatives intravenously
E. *All mentioned
11. Under which ungle should be injection performed presented on the picture 5?
A. 0°
B. 15°
C. 25°
D. 60°
E. *45°
12. For which type of injection can we use manipulation presented on the picture 5?
A. Intradermal
B. *Intravenous
C. Subcutaneous
D. Intramuscular
E. Intraarterial
13. Which method is used for blood pressure measurement (see picture 6)??
A. Riva-Rocchy’s method
B. Botkin’s method
C. Obrastsov’s method
D. Strazjesko’s method
E. *Korotkov’s method
14. Look at the picture 6. Systolic blood pressure in norm should not exceed:
A. 110 mm of Hg.
B. 120 mm of Hg.
C. 130 mm of Hg.
D. 150 mm of Hg.
E. *140 mm of Hg..
15. Look at the picture 6. Diastolic blood pressure in norm should not exceed:
A. 60 mm of Hg.
B. 70 mm of Hg.
C. 80 mm of Hg.
D. 100 mm of Hg.
E. *90 mm of Hg.
16. Look at the picture 7. An examiner determines violation of maximal and minimal capacity of
radial artery by change of pressure of his finger tips on the artery. Which pulse property is
determined?
A. Is it synchronous or not
B. Rrhythm
C. Rate
D. Tension
E. *Filling
17. How is the device called presented on the picture 8?
A. Membrane tonometer
B. Automatic tonometer
C. Electronic tonometer
D. Mechanic tonometer
E. *Mercury tonometer
18. Select the name of investigator of presented on the picture 8 device:
A. *Riva-Rocchy’s
B. Laennek
C. Karl Lynney
D. Obrastsov
E. Auennbrugger
19. Which complication may develop in administration of medicine by the way presented on the
picture 9?
A. Hematoma
B. Flebitis
C. Air embolism
D. Allergic reaction
E. *All mentioned
20. Which complication may develop in administration of medicine with finished eligibility term by
the way presented on the picture 9?
A. Hematoma
B. Fat embolism
C. Air embolism
D. Infiltration
E. *Pyrogenic reaction
21. Which complication may develop if a nurse will not remove air bubbles from the syringe before
the injection (picture 9)?
A. Sepsis
B. Fat embolism
C. Infiltration
D. Pyrogenic reaction
E. *Air embolism
22. Which complication may develop in administration of medicine into subcutaneous fat tissue as
it is presented on the picture 9?
A. Sepsis
B. Fat embolism
C. Hematoma
D. Pyrogenic reaction
E. *Infiltration
23. How is the temperature curve presented on the picture 10 called?
A. Remittent
B. Intermittent
C. Undulant
D. Irregular
E. *Recurrent
24. Look at the picture 10. Which disease is this temperature curve reccurens febris typical for?
A. Croupous pneumonia
B. Malaria
C. Sepsis
D. Tuberculosis
E. *Relapsing fever
25. How is the temperature curve presented on the picture 11 called?
A. *Undulant
B. Remittent
C. Intermittent
D. Recurrent
E. Irregular
26. Look at the picture 11. Which disease among enumerated is this temperature curve Undulant
fever typical for?
A. Malaria
B. Relapsing fever
C. Typhoid fever
D. Croupous pneumonia
E. *Lymphogranulomatosis
27. How is the temperature curve presented on the picture 12 called?
A. Remittent
B. Intermittent
C. Recurrent
D. Permanent
E. *Hectic
28. Look at the picture 12. Which disease among enumerated is this temperature curve typical for?
A. *Sepsis
B. Croupous pneumonia
C. Malaria
D. Tuberculosis
E. Relapsing fever
29. How is the temperature curve presented on the picture 13 called?
A. Remittent
B. Recurrent
C. Undulant
D. Irregular
E. *Intermittent
30. Look at the picture 12. Which disease among enumerated is this temperature curve typical for?
A. Local pneumonia
B. Malaria
C. Rheumatism
D. Brucellosis
E. *Tuberculosis
31. How is the temperature curve presented on the picture 14 called?
A. Remittent
B. Intermittent
C. Recurrent
D. Undulant
E. *Irregular
32. Look at the picture 14. Which disease among enumerated is this temperature curve typical for?
A. Croupous pneumonia
B. Malaria
C. Tuberculosis
D. Relapsing fever
E. *Dysenteria
33. How is the temperature curve presented on the picture 15 called?
A. Remittent
B. Intermittent
C. Recurrent
D. Hectic
E. *Permanent
34. Look at the picture 15. Which disease among enumerated is this temperature curve typical for?
A. Malaria
B. Dysenteria
C. Tuberculosis
D. Relapsing fever
E. *Croupous pneumonia
35. How is the temperature curve presented on the picture 16 called?
A. Intermittent
B. Recurrent
C. Hectic
D. Permanent
E. *Remittent
36. Look at the picture 16. Which disease among enumerated is this temperature curve typical for?
A. Malaria
B. Dysenteria
C. Tuberculosis
D. Relapsing fever
E. *Purulent infection
37. How is device presented on the picture 17 called?
A. Mercury tonometer
B. Membrane tonometer
C. Automatic tonometer
D. Electronic tonometer
E. *Mechanic tonometer
38. Which investigation is presented on the picture 18?
A. Nechyporenko’s test
B. Addis-Kakovsky’s test
C. Uriana analyses
D. Amburzje’s test
E. *Zymnitsky’s test
39. What is possible to assess with investigation of urine presented on the picture 18(zimmitsky's
test):
A. Amount of leucocytes in urine
B. Amount of erythrocytes in urine
C. Presence of bacteria in urine
D. Change of urine color
E. *Ratio between daily and night diuresis
40. What is time duration for collection of urine according to the investigation presented on the
picture 18?
A. In each hour
B. In each 2 hours
C. As long as it is necessary to fill the vial completely
D. Time does not matter
E. *In each 3 hours
41. What is ratio between daily and night diuresis is indicated on the picture 18?
A. 1:2
B. 1:1
C. 2:2
D. 1:0
E. *2:1
42. Which device for care of patients presented on the picture 19?
A. Flatus tube
B. *Enema
C. Probe for stomach lawage
D. Probe for stomach probing
E. Probe for duodenal probing
43. What is it necessary to treat the tip of the device with for execution of the procedure presented
on the picture 20?
A. *Vaseline oil
B. Alkohol solution
C. Jodinum solution
D. Chloramin
E. No any answer is correct
44. What is contraindication for execution of the procedure presented on the picture 20?
A. Anal fissures
B. Bleeding from hemorrhoids
C. Peritonitis
D. Tumor of the rectum
E. *All answers are correct
45. What is indication for execution of the procedure presented on the picture 20?
A. Constipation
B. Marked meteorism
C. Delivery
D. Preparation for investigation of gastrointestinal tract
E. *All answers are correct
46. Look at the picture 21. Which procedure does the student perform?
A. Syphon enema
B. Microenema
C. Drop enema
D. No any answer is correct
E. *Cleansing enema
47. What volume of water is it necessary to prepare for the procedure presented on the picture 21?
A. 4 liters
B. 10 liters
C. 5 liters
D. 6 liters
E. *1,5 liters
48. What is the purpose for usage of the device presented on the picture 22?
A. Cleansing enema
B. Syphon enema
C. Drop enema
D. No any answer is correct
E. *Microenema
49. Which method of digestive tract investigation is presented on the picture 23?
A. Computer tomography
B. Ultrasound examination
C. *X-ray examination
D. Endoscopic examination
E. Termography
50. Which radiopaque preparation is used for investigation presented on the picture 23?
A. Bilitrast
B. Iopagnost
C. Cholevid
D. No any of them
E. *Barium sulfat solution
51. Which preparation is it necessary to execute for the investigation presented on the picture 23?
A. This investigation does not require no any preparation
B. Cleansing enema in the morning and in the evening before investigation
C. Cleansing enema in the morning before investigation
D. Syphon enema before investigation
E. *The investigation is performed if the patient is on fasting stomach
52. Look at the picture 24. Which investigation of sputum is this specimen containes used for 24?
A. Micriscopy
B. Bilchemical study
C. Physical examination
D. No any of them
E. *Bacteriologic
53. Which type of enema is presented on the picture 25?
A. Cleansing enema
B. Microenema
C. Drop enema
D. No any of them
E. *Syphon enema
54. What is indication for execution of the procedure presented on the picture 25?
A. Intestinal obstruction
B. *All mentioned
C. Poisoning
D. Preparation for colonoscopy
E. Absence of efficacy of cleansing enema
55. What volume of water is it necessary to prepare for the procedure presented on the picture 25?
A. 4 liters
B. 5 liters
C. 1,5 liters
D. 6 liters
E. *10 liters
56. Which procedure execution is presented on the picture 26?
A. Stomach probing
B. Stomach lawage without probe
C. Duodenal probing
D. Administration of medicines
E. *Stomach lawage with usage of thick probe
57. Look at the picture 26. Select indication for the procedure presented on the picture:
A. Acute gastritis
B. Food poisoning
C. Pylorostenosis
D. Poisoning by medical preparations
E. *All mentioned
58. Look at the picture 26. Select contraindication for the procedure presented on the picture:
A. Pylorostenosis
B. Esophageal and stomach bleeding
C. Myocardial infarction
D. Disorders of cerebral circulation
E. *All mentioned
59. Which method of intestinal tract investigation is presented on the picture 27?
A. Computer tomography
B. Endoscopic examination
C. X-ray examination
D. Termography
E. *Ultrasound examination
60. Look at the picture 27. Which preparation does a patient need for execution of this procedure?
A. This investigation does not require no any preparation
B. Cleansing enema in the morning and in the evening before investigation
C. Cleansing enema in the morning before investigation
D. Syphon enema before investigation
E. *The investigation is performed if the patient is on fasting stomach
61. Which digestive system organs is it possible to examine with the method presented on the
picture 27?
A. Stomach
B. *Liver, spleen, kidneys
C. Large intestine
D. Small intestine
E. Esophagus
62. Which method of intestinal tract investigation is presented on the picture 28?
A. Ultrasound examination
B. Endoscopic examination
C. X-ray examination
D. Thermography
E. *Computer tomography
63. Which method of intestinal tract investigation is presented on the picture 29?
A. Computer tomography
B. Ultrasound examination
C. X-ray examination
D. Thermography
E. *Endoscopic examination
64. Which digestive system organs is not possible to examine with the method presented on the
picture 31?
A. Esophagus
B. Cardial part of a stomach
C. Duodenum
D. Pyloric part of a stomach
E. *Large intestine
65. Which method of intestinal tract investigation is presented on the picture 30?
A. Computer tomography
B. Ultrasound examination
C. Endoscopic examination
D. Thermography
E. *X-ray examination
66. Look at the picture 30. Which preparation does a patient need for execution of this procedure?
A. Cleansing enema in the morning and in the evening before investigation
B. Cleansing enema in the morning before investigation
C. The investigation is performed if the patient is on fasting stomach
D. Syphon enema before investigation
E. *This investigation does not require no any preparation
67. Look at the picture 31. Which preparation does a patient need for execution of this procedure?
A. This investigation does not require no any preparation
B. Cleansing enema in the morning and in the evening before investigation
C. The investigation is performed if the patient is on fasting stomach
D. Syphon enema before investigation
E. Cleansing enema in the morning before investigation
68. Which method of intestinal tract investigation is presented on the picture 32?
A. Computer tomography
B. Ultrasound examination
C. X-ray examination
D. Thermography
E. *Colonoscopy
69. Look at the picture 32. Which preparation does a patient need for execution of this procedure?
A. This investigation does not require no any preparation
B. Cleansing enema in the morning before investigation
C. The investigation is performed if the patient is on fasting stomach
D. Syphon enema before investigation
E. *Cleansing enema in the morning and in the evening before investigation
70. Which digestive system organs is it possible to examine with the method presented on the
picture 32?
A. Esophagus
B. Cardial part of a stomach
C. Duodenum
D. Pyloric part of a stomach
E. *Large intestine
71. On which part of patient’s body is it necessary to put cups in hypertonic crisis (picture 33)?
A. Along a backbone
B. *Cups application is contraindicated in hypertonic crisis
C. On the legs
D. On the heart region
E. On the lumbar region
72. In which pathological conditions is it not useful to apply medical cups (picture 33)?
A. Acute bronchitis
B. Focal pneumonia
C. Angina pectoris
D. Arterial hypertension
E. *Epilepsy
73. In which pathological conditions medical cups application is contraindicated (picture 33)?
A. Inflammation of chest organs;
B. Intercostal neuralgia
C. Radiculitis
D. Myositis
E. Pulmonary tuberculosis
74. In which pathological conditions medical cups application is strongly contraindicated (picture
33)?
A. Lung cancer
B. Pulmonary tuberculosis
C. Pulmonary thromboembolism
D. Sarcoidosis
E. *All enumerated cases
75. On the picture 34 you can see mustard plasters. Which contraindication of their usage do you
know?
A. Hypertonic crisis
B. Pneumonia
C. Bronchitis
D. Angina pectoris attack
E. *Lung bleeding
76. A patient with chronic glomerulonephritis developed elevation of blood pressure up to 200/120
mm of Hg. Which simplest medical procedure may be executed (picture 34)?
A. Application of an ice-bag on the back of the head
B. Application of mustard plasters on the back of the head
C. To prepare a hot bath
D. To let him to have a cold shower
E. *Application of a hot water bottle on lumbar region
77. A patient complains of severe headache, зdizziness, nausea, hum in the ears, shaking of legs and
hands. Her blood pressure is АТ-180/100 mm of Hg. A doctor prescribed mustard plasters for
here. On which part of patient’s body will a nurse apply mustard plasters (picture 34)?
A. Intrascapular region
B. heart region
C. On the chest
D. Along a backbone
E. *On the back of the head
78. What is action of mustard plasters on an organism (picture 34)?
A. Resorptive
B. Warming action
C. Distractive action
D. Analgethic action
E. *Antiallergic action
79. In which pathological conditions can you use mustard plasters (picture 34)?
A. Lung bleeding
B. Tuberculosis
C. Nervous irrstation and convulsions
D. Malignant tumors
E. *Pneumonia
80. A patient was prescribed application of mustard plasters on his chest (picture 34). What should
be duration of the procedure?
A. 5-10 min
B. 15-20 хв min
C. 20-30 min
D. 1 hour
E. *10-15 min
81. On the picture 35 you can see medical cups. What is their influence on human organism?
A. Intensification of resorption
B. Stop bleeding
C. Antiinflammatory action
D. Analgethic action
E. *Stimulation of the organism
82. What is duration of the procedure of medical cups application (picture 35)?
A. 1-2 min
B. 3-5 min
C. 6-9 min
D. 16-20 min
E. *10-15 min
83. Look at the picture 36 Name places of mustard plasters application in pain in the heart:
A. Back of the head;
B. *Heart region
C. The chest anterior surface
D. Between scapulas
E. Gastroknemius muscles
84. Which complication may develop after application of warming compress (picture 37)?
A. Bedsores;
B. Atrophy
C. Lipodystrophy;
D. Trophic ulcer
E. *Maceration
85. A patient is prescribed 50 % alcohol compress on the left shoulder (picture 37). A nurse is
explaining her the sequence of the procedure. She should explain for the patient that duration of
the procedure is equal to:
A. 1-2 hr
B. 8-10 hr
C. 20-30 min
D. 4-5 hr
E. *6-7 hr
86. Which among the enumerated diseases is nit a contraindication for appklication of warming
compress (picture 37)?
A. Scabies
B. Allergic dermatitis
C. Furunculosis
D. Hectic fever
E. *Acute inflammatory process in the pharynx
87. Warming compress is presented on the picture 37. In which sequence will you apply slises of
the compress?
A. A gauze, compress paper, cotton, bandage
B. Cotton wetted in 50 % alcohol solution, compress paper, a gauze, bandage
C. Cotton, compress paper, a gauze, bandage
D. A gauze, wetted in 50 % alcohol solution, cotton, compress paper, bandage
E. *A gauze wetted in 50 % alcohol solution, compress paper, cotton, bandage
88. Time of warming compress application is equal to (picture 37):
A. 10-15 min
B. 30-40 min
C. 1-2 hr
D. 1-2 days
E. *6-8 hr
89. Time of warming compress with application of 50 % alcohol solution is equal to (picture 37):
A. На 1 - 2 hr
B. На 3 - 4 hr
C. На 5 hr
D. На 8 - 10 hr
E. *На 4 - 6 hr
90. How many slises does warming compress consist of (picture 37)?
A. 2;
B. 5;
C. 3;
D. 6.
E. *4;
91. A patient has elevated blood pressure, severe headache, fever, he is nervous. Which simplest
physiotherapeutical procedure can a nurse use to decrease headache (picture 38)?
A. A hot water bottle
B. Mustard plasters
C. Cups
D. Warming compress
E. *Cold compress
92. What is presented on the picture 38?
A. A hot water bottle
B. A bottle for leeches
C. Warming compress
D. No correct answer
E. *An ice-bag
93. Which physiotherapeutical procedure are useful in exacerbation of chronic pancreatitis (picture
38)?
A. Mustard plasters application on the chest
B. A hot water bottle application on epigastric region
C. Hot bath
D. A hot water bottle application on legs
E. *An ice-bag application on epigastric region
94. Look at the picture 39. In which disease among anumerated this device is not contraindicated?
A. Acute appendicitis
B. *Chronic spastic colitis
C. Bleeding from duodenal ulcer
D. Stomach cancer
E. Acute dysentery
95. What is presented on the picture 41 and in which disease this procedure in not performed?
A. An ice-bag application, fever
B. An ice-bag application, bleeding
C. An ice-bag application, trauma (during first hours)
D. An ice-bag application, after delivery in first 2 hours on pubic region
E. *An ice-bag application, overcooling
96. An ice-bag is used for (picture 41):
A. Resorption of infiltration
B. In І stage of fever
C. In chronic cholecystitis
D. In ІII stage of fever
E. *In bleeding
97. What influence is not typical for action of cold on an organism (picture 41)?
A. Antiinflammatory action
B. Decreases blood inflow
C. Analgethic action
D. Stops bleeding
E. *Resorptive
98. Look at the picture 42. A patient, 50 years old, has renal colick. He is prescribed hot bath. What
should be temperature of water?
A. 23-30° С
B. 31°С
C. 34-36°С
D. 370
E. *up to 40°С
99. A patient is on long-standing treatment in therapeutic department of a hospital because of
angina pectoris. The patient was prescribed hydrotherapy. Which bath is better to use for the
patient (picture 42)?
A. Iodine-bromine bath
B. Sodium chloride bath
C. Sage bath
D. Starch bath
E. *Conifer bath
100. Where leeches should be kept (picture 45)?
A. In boxes
B. *in bottles
C. In packets
D. в flasks
E. In dark rooms
101. Which componens of leech’s saliva inhibits blood coagulation (picture 45)?
A. Alfa-1-antitrypsin
B. Heparin
C. Amylase
D. Creatinine phsphokinaze
E. *Hirudin
102. Which componens of leech’s saliva increases permeability of tissues (picture 45)?
A. Alkaline phosphatase
B. Creatinine phsphokinaze
C. Acid phosphatase
D. Phospholipaze
E. *Hialuronidaze
103. Which componens of leech’s saliva dissolve cloths of fibrin (picture 46)?
A. Fibrinolysin
B. Heparin
C. Tripsin
D. Actilize
E. *Destabilaze
104. Look at the picture 46. If bleeding from the wund after leeche’s bite will not stop in 24 hours
than it is necessary to:
A. To apply ligature suture on the affected place
B. To apply a tourniquet higher of the place of affection
C. To apply a tourniquet lower of the place of affection
D. To administer hemostatics intravenously
E. *To treat a wund with hydrogenium peroxide or potassium permanganatis solution and
apply dry sterile ball of gauze.
105. Optimal temperature for storage of medical leeches is … degrees of Celsium (picture 46):
A. 3-5
B. 6-7
C. 8-9
D. 25-30
E. *10-15
106. For taking blood samples for bacteriological examination (picture 49) a nurse should
prepare:
A. Sterile Petry cup
B. Dry clean tube
C. Dry clean flask
D. Sterile tube with concervant
E. *Sterile tube
107. For biochemical blood examination (picture 49) a nurse should take
A. *5 ml of blood from a vein
B. 15 ml of blood from a vein
C. 20 ml of blood from a vein
D. 1 ml of blood from a vein
E. 2 ml of blood from a vein
108. During taking blood samples for examination a nurse should observe rules of prophylaxis of
viral hepatitis contamination. These rules are prescribed in the following order of Ministry
Health Protection:
A. № 720
B. № 450
C. № 120
D. № 350
E. *№ 408
109. During taking blood samples for examination a nurse was not careful and some patient’s
blood dropped on here wrist skin (picture 49). What should the nurse do?
A. To clean wrists with a soap, to treat with 1% chloramine solution
B. To take blood with dry sterile ball of gauze
C. To treat hands with 3% chloramine solution, than treat with a tampon, wetted in 70\%
alkohol solution
D. Двічі обробити забруднену шкіру рук 5\% спиртовим розчином йоду
E. *To clean wrists with a soap, to treat with a тампоном wetted in 70% alkohol solution
110. A nurse has taken blood for biochemical study from a patient with viral hepatitis (picture
49). How to disinfect the syringe and the needle?
A. To keep in 1\% chloramin solution for 180 min.
B. To keep in 5\% chloramin solution for 240 min.
C. To keep in 3\% hydrogenium peroxide solution for 60 min.
D. To keep in 4\% hydrogenium peroxide solution for 30 min.
E. To keep in 3\% chloramin solution for 60 min.
111. Which equipment is used for (picture 50) hygienic care of patient’s nose?
A. Dry cotton ball is inserted into each nostril
B. Dry cotton-gause туруну is inserted into each nostril
C. Turunda wetted in 3% boric alkohol is inserted into each nostril
D. Turunda wetted in 4\% hydrogenium peroxide solution is inserted into each nostril
E. *Turunda wetted in Vaseline oil is inserted into each nostril
112. How often care of patient’s nose should be executed n severe patients (picture 50)?
A. 1 time a weak
B. Nasal cavity of severe patients doesn’s require any care
C. As often as corcs widd develop
D. 2 times a day
E. *Everyday
113. Select the condition when it is possible to use an electric physiotherapeutic device presented
on the picture 40:
A. Acute gastritis
B. Bleeding
C. Malignant tumors
D. First 24 ht after hurt
E. *Chronic gastritis
114. A patient with acute respiratory disease is prescribed physiotherapeutical procedure
presented on the picture 43. Select water temperature and duration of the procedure:
A. До 20°С, 3- 5 min
B. 20-33°С, 10-15 min
C. 34-38°С, 5-10 min
D. 39-40°С, 40-50 min
E. *38-39°С, 15 -20 min
115. What is presented on the picture 44?
A. Machine for artificial lung vntilation
B. Spyrograph
C. Bobrov’s device
D. No any of them
E. *Inhaler
116. The device for hyperbaric oxygenation is presented on the picture 47. What is the purpose of
its usage?
A. For artificial breathing
B. *For administration of oxygen is respiratory airways
C. For defence from infections
D. For ihalation of expectorants
E. For aromotherapy
117. What is the purpose of usage of the device presented on the picture 48?
A. Hemosorption
B. Hemodialysis
C. Assessment of external respiratory function
D. Assessment of basal metabolism
E. *Hyperbaric oxygenation
118. On the picture 34 ypu can see mustadr plasters. What contraindication for irts application do
you know?
A. Hypertonic crisis
B. Pneumonia
C. Bronchitis
D. Angina pectoris attack
E. *Lung cancer